大面积脑梗死合并门静脉积气患者的治疗体会

Treatment experience of large area cerebral infarction with portal vein pneumatosis

急性脑梗死具有高发病率、高致残率、高病死率的特点,尤其是大面积脑梗死合并高血压、高血糖、肥胖等高危因素的患者病死率更高.在治疗大面积脑梗死的同时,特别要注意监测患者电解质平衡以及消化系统和其他各系统病情变化.现总结1例大面积脑梗死患者治疗过程中出现门静脉积气、肠梗阻等严重并发症的体会如下.

Acute cerebral infarction possesses the characteristics of high incidence, high disability rate and high mortality, especially in patients with large area cerebral infarction accompanied by a variety of chronic diseases,such as systemic hypertension, hyperglycemia, obesity, etc risk factors, their mortality will be much higher. Simultaneously, in the treatment of large area cerebral infarction, special attention should be paid on monitoring the disease situation changes of patients' electrolyte balance, digestive system and other systems; in this study, the experiences of treating a patient with large area cerebral infarction and occurrence of serious complications as portal vein pneumatosis, intestinal obstruction, etc in the course of disease were summarized.