46例分水岭脑梗死的病因分析及干预对策

目的研究分水岭脑梗死的病因及相关干预对策。方法对笔者所在医院2007年1月至2008年11月期间住院的分水岭脑梗死46例患者进行病因学的统计分析并提出相关干预措施。结果46例分水岭脑梗死患者的病因主要为体循环低血压、血管狭窄或闭塞、微栓子及血液流变学异常，基础病因为动脉粥样硬化。结论动脉粥样硬化基础上合并有血管狭窄或闭塞的患者，降压治疗须适度，手术、透析、腹泻、失血情况下需及时补充体液，有动脉斑块形成危险因素的患者须行稳定斑块治疗，合并心房纤颤须抗凝。

Etiology analysis and stategy in 46 cerebral watershed infarction cases

Objective To investigate the etiology of cerebral watershed infarction and stategy. Methods A statistics study was carried on 46 cases with cerebral watershed infarction from January 2007 to November 2008. Results The most etiology is hypotension, hemadostenosis, microembolus and abnormal blood rheology. The underline disease is atherosis. Conclusion The atherosclerotic with hemadostenosis should be moderate antihypertensive. Fluid infusion is essential to patients with surgery, dialysis, diarrhea and hemorrhage. When people have the risk of plaque, they should receive plaque stabilization treatment. The atrial fibrillation patients need anticoagulant therapy.