恶性大脑中动脉梗死97例临床特点分析

目的：探讨恶性大脑中动脉梗死的临床特点、治疗方法及预后。方法：对97例恶性大脑中动脉梗死患者的临床资料进行回顾性分析,对其病因、临床症状、体征、治疗方法、预后进行总结、分析。结果：心房纤颤是脑栓塞的主要病因,通过积极控制脑水肿、降低颅内压等治疗,97例患者死亡率为28.72%,存活的患者大部分生活不能自理。结论：对恶性大脑中动脉梗死患者应进行早期溶栓治疗,改善预后,降低死亡率及致残率,在恶性大脑中动脉梗死后通过药物和减压手术积极控制脑水肿可以挽救生命,加强对民众的宣传,使其及早就诊。

Clinical analysis 97 cases of malignant middle cerebral artery infarction

Objective：To make an analysis on malignant middle cerebral artery（MMCA） infarction in 97 cases to explore their clinica features,therapy and prognosis.Methods：We summarized and analyzed 97 cases of MMCA infarction in cause,clinical symptoms and signs,therapy and prognosis.Results：Atrial fibrillation was mainly reason of cerebral embolism.Through antiedema therapy,control elevated intracranial pressure（ICP） for MMCA infarction.The mortality of MMCA infarction was 28.72%.Most of patients who survived couldnot do their activity of daily living.Conclusion：Thrombolysis therapy should be done in the early period after MMCI infarction onset,in order to improve prognosis,to reduce mortality and disability rate.In cases of evolving MMCA infarction,early medical treatment and decompressive surgery can be life saving.Strengthen the propaganda of stroke to the citizen and make them visit hospital as soon as possible after stroke onset.