大面积脑梗死的临床特点和处理对策

目的: 总结急性大面积脑梗死的临床特点及处理对策。方法: 回顾性分析52例急性大面积脑梗死的临床诊疗资料。结果: 52例中病死5例,病情恶化自动出院4例;存活43例,存活率82.7%,遗留偏侧瘫痪,大多生活不能自理。结论: 大面积脑梗死意识障碍、偏瘫及侧视麻痹发生率高,易继发出血性梗死,并发症多,预后差;早期脱水降颅压,防治脑疝是抢救的关键。

Clinical features and management of acute cerebral infarction in large area

Objective:To summarize the clinical features and treatment of large area acute cerebral infarction.Methods:The clinical data of 52 cases of large area acute cerebral infarction were reviewed and analyzed respectively.Results:Among all cases,5 cases died,4 were discharged automatically for aggravation of their state and 43 survived.The survival rate was 82.7%.Hemiparalysis occurred in most cases,most of whom were unable to take care of themselves.Conclusions:The disease has a high incidence rate of conscious disturbance,hemiparalysis and side-glance paralysis.It tends to be succeeded by hemorrhagic infarct,complications and poor prognosis.Lowering the intracranial pressure and prevention and cure of cerebral hernia are the key to the rescue of large area acute( cerebral infarction.)