34例大面积脑梗死临床诊疗分析

Clinical diagnosis and treatment of massive cerebral infarction:a report of 34 cases

目的:加深临床工作中对大面积脑梗死诊疗过程的认识。方法:对经影像学证实为大面积脑梗死患者34例进行回顾性分析,总结诊疗经验等。结果:大面积脑梗死发病急、进展快,多合并心源性栓子,易引起颅高压,治疗应以降颅压为主。结论:大面积脑梗死病情重、易合并其他疾病,死亡率高,尽早确诊、及时治疗有助于改善预后。

Objective:To deepen the understanding of the diagnosis and treatment procedures of massive cerebral infarction.Methods:34 cases of patients with massive cerebral infarction confirmed by images were retrospectively analyzed,and the clinical experience was summarized.Results:Large area of cerebral infarction had rapid onset,rapid progression,and was often associated with cardiac emboli such as atrial fibrillation,which was easy to cause cranial hypertension,craniofacial pressure should be the main treatment.Conclusion:Large area of cerebral infarction is serious and easy to be associated with other diseases or complications,which also have a high mortality.Early diagnosis and proper treatment can improve the prognosis.