探讨大面积脑梗死的临床特点与治疗措施

To Explore the Clinical Characteristics and Treatment of Massive Cerebral Infarction

目的针对大面积脑梗死患者的临床特点及其治疗措施进行相应的探讨。方法选取通化市矿业集团总医院2018年10月至2019年10月门诊和住院部收治的70例大面积脑梗死患者作为研究对象,对该70例病例的疾病特点及治疗措施进行分析。结果70例大面积脑梗死患者在进行治疗后,治疗好转者占35.71%(25/70),治疗无变化者占64.29%(45/70),两者比较差异有统计学意义(P<0.05)。通过分析结果显示,引起大面积脑梗死的原因主要有心源性栓塞及高血压脑动脉硬化等,其临床特点为发病迅速,病情进展快,患者可出现颅内高压、病灶对侧性偏瘫及意识障碍等临床表现。结论分析大面积脑梗死患者的病情特点,能够为治疗提供方向,并有助于改善治疗结局。

Objective To discuss the clinical characteristics and treatment measures of massive cerebral infarction.Methods From October 2018 to October 2019,70 patients with massive cerebral infarction admitted to the outpatient and inpatient department of our hospital were selected,and their cases and treatment methods were taken as the data of this study.The disease characteristics and treatment measures of the 70 cases were analyzed and discussed.Results After the treatment of 70 patients with massive cerebral infarction,the treatment improved in 35.71%(25/70)cases,and the treatment did not change in 64.29%(45/70)cases,the comparison between the two was significant(P<0.05).Through analysis,we can know that the causes of massive cerebral infarction include cardiogenic embolism and hypertensive cerebral arteriosclerosis.The bed is characterized by rapid onset and relatively rapid development of the disease,with symptoms including intracranial hypertension,focal contralateral hemiplegia and disturbance of consciousness.Conclusion Analysis of the characteristics of patients with large area cerebral infarction can provide direction for treatment and help to improve the outcome of treatment.