| 恶性大脑中动脉区梗死的外科处理 |
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| 引用本文： | 姚一,谭启富. 恶性大脑中动脉区梗死的外科处理[J]. 国际脑血管病杂志, 2005, 13(5): 356-359 |
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| 作者姓名： | 姚一 谭启富 |
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| 作者单位： | 361003,厦门,解放军第174医院神经外科;210002,南京军区南京总医院神经外科 |
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| 摘 要： | 恶性大脑中动脉区梗死占所有大脑中动脉区梗死的15%~20%。一些患者会出现占位性脑水肿而导致中线结构移位、颅内压增高和脑疝形成。通常在症状出现后2~5d内意识水平下降和出现脑干体征而恶化。内科保守治疗的病死率高达60%~80%,而积极手术治疗却能显著降低病死率并改善预后。
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| 关 键 词： | 脑梗死 大脑中动脉 脑水肿 手术减压 硬脑膜成形术 |
| 修稿时间： | 2005-04-12 |
Surgical Management for Malignant Middle Cerebral Artery Infarction |
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| YI Yao,Qi-Fu Tan. Surgical Management for Malignant Middle Cerebral Artery Infarction[J]. International Journal of Cerebrovascular Diseases, 2005, 13(5): 356-359 |
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| Authors: | YI Yao Qi-Fu Tan |
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| Abstract: | Malignant middle cerebral artery (MCA) infarction comprises 15-20% of all MCA infarctions. Some patients may develop a space-occupying brain edema leading to raised intracranial pressure, midline shift, and in the worst case, herniation with subsequent death. Clinical deterioration with decreasing levels of consciousness and evolvement of brain stem signs usually occurs within 2 to 5 days following symptom onset. The mortality of conservative treatment is as high as 60-80%, while the aggressive surgical management may significantly reduce the mortality and improve their prognosis. |
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| Keywords: | cerebral infarction middle cerebral artery brain edema surgical decompression duraplasty |
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