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大面积脑梗塞致脑疝后手术与保守治疗疗效观察

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摘要 目的 研究颈内动脉系统大面积脑梗塞致脑疝早期去骨瓣减压术与保守治疗的疗效。方法 20例患者均经脑CT证实为大面积脑梗塞。均予甘露醇及逮尿脱水,当出现患侧瞳孔扩大,加大脱水剂,效果不好,其中6例行去骨瓣减压术。14例保守治疗。结果 手术治疗6例,显著进步3例,进步2例,无变化1例;保守治疗14例,进步3例,无变化1例,死亡10例,死于脑疝7例,左心衰2例,肾衰1例。手术组全部存活。保守治疗组死亡率达71.4%。结论 大面积脑梗塞致脑疝早期行去骨瓣减压术能明显改善愈后,提高生存率。
出处 《中华医学丛刊》 2004年第3期48-49,共2页
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