去骨瓣减压术治疗大面积脑梗死(附31例临床分析)

目的　探讨去骨瓣减压术对不同原因引起的大面积脑梗死的临床效果及预后。方法　 31例不同原因所致的大面积脑梗死均行去骨瓣减压术。结果　 31例中 ,15例死亡 ,死亡率 4 8 4 %。其中 ,外伤性脑梗死死亡率为 37 5 % ,自发性梗死的死亡率为 36 4 %。颈内动脉或大脑中动脉动脉瘤破裂出血而结扎所致者的预后最差 ,死亡率为 80 %。结论　去骨瓣减压术在不同原因的大面积脑梗死的治疗中所起作用及预后是不同的。

Treatment of Great Area Brain Infarction with Decompressive Craniectomy

Objective The characteristic and prognosis of great area brain infarction was discussed from the different cause.Methods 31 patients were performed decompressive craniectomy with the great area brain infarction from the different cause.Results 15 patients were died.The mortality rate is 48.4%.Among this,trauma brain infarction mortality rate is 37.5%.Spontaneous brain infarction mortality rate is 36.4%;The mortality rate which the ruptured of internal carotidartery was ligated is 80%.Conclusion The role and prognosis of decompressive craniectomyis is different in great area brain infarction from different cause.