| 恶性大脑中动脉综合征的手术治疗时机 |
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| 引用本文： | 赵强,王德全,何东升,邓增赋,樊伟.恶性大脑中动脉综合征的手术治疗时机[J].中国循证医学杂志,2004,4(3):212-214. |
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| 作者姓名： | 赵强 王德全 何东升 邓增赋 樊伟 |
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| 作者单位： | 四川省资阳市第二人民医院,简阳,641400 |
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| 摘 要： | 目的探讨大脑中动脉梗塞所致恶性大脑中动脉综合征的手术治疗时机.方法对四川省资阳市第二人民医院47例恶性大脑中动脉综合征患者手术时机与疗效的关系进行回顾性分析,并对比分析早期手术和延期手术的疗效优劣,统计学分析使用SPSS10.0软件.结果27例早期手术患者中,痊愈及良好的18例,重残4例,死亡5例.20例延期手术患者中,痊愈及良好9例;重残4例;死亡7例.延期组死亡率和重残率高于早期组.结论合理选择手术时机,可能减少恶性大脑中动脉综合征的死亡率和重残率.
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| 关 键 词： | 大脑中动脉综合征 脑梗塞 手术治疗 手术时机 |
| 文章编号： | 1672-2531(2004)03-0212-03 |
| 修稿时间： | 2004年2月5日 |
Surgical Chance of Operation in Decompressive Craniectomy in Malignant Middle Cerebral Artery Syndrome |
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| ZHAO Qiang,WANG De-quan,HE Dong-sheng,DENG Zeng-fu,FAN Wei. Sichuan Ziyang Second Hospital,Jianyang China.Surgical Chance of Operation in Decompressive Craniectomy in Malignant Middle Cerebral Artery Syndrome[J].Chinese Journal of Evidence-based Medicine,2004,4(3):212-214. |
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| Authors: | ZHAO Qiang WANG De-quan HE Dong-sheng DENG Zeng-fu FAN Wei Sichuan Ziyang Second Hospital Jianyang China |
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| Institution: | ZHAO Qiang,WANG De-quan,HE Dong-sheng,DENG Zeng-fu,FAN Wei. Sichuan Ziyang Second Hospital,Jianyang 641400 China |
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| Abstract: | Objective To discuss the optimal time for operation in patients with malignant middle cerebral artery (MCA) syndrome. Method The relation between effectiveness and operating time was analyzed in 47 patients to compare the effects of early and delayed operation by SPSS10.0. Results Among 27 patients undergoing early operation, 18 were cured or restored, 4 seriously disabled and 5 died. While among 20 patients undergoing delayed operation, only 9 were cured or restored, 4 seriously disabled and 7 died.The prognosis of delayed operation group was worse than that of early operation group. Conclusions Selecting the optimal time to operate may decrease the mortality and morbidity of MCA syndrome. |
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| Keywords: | Malignant middle cerebral artery syndrome Cerebral infarction Surgical treatment Surgical chance |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
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