20例大面积脑梗死临床分析

目的 探讨大面积脑梗死的临床特点、预后,分析其危险因素,提出合适的治疗方案.方法 对20例大面积脑梗死患者的临床资料进行回顾性分析,总结其临床特点,危险因素,提出合适的治疗方案.结果 20例大面积脑梗死患者,意识障碍16例,头痛9例,呕吐12例,凝视11例,脑膜刺激征1例,继发出血3例,18例感染,死亡7例.房颤、糖尿病为其重要的危险因素.结论 大面积脑梗死进展快,意识障碍、头痛、失语、凝视多见,预后差,需及早使用脱水剂,尽早外科治疗,以降低病死率.

Clinical analysis of 20 cases of massive cerebral infarction

Objective To investigate the clinical features, prognosis of patients with massive cerebral infarction, and to analyze the risk factors and to propose appropriate therapy. Methods The clinical data of 20 cases of large area cerebral infarc- tion were analyzed retrospectively, to summarize the clinical characteristics, risk factors and propose appropriate thera- py. Results Among the 20 cases of massive cerebral infarction, 16 cases had disturbance of consciousness, 9 cases had head- ache , 12 cases had vomiting, Ii cases had gaze , 1 case had meningeal stimulation. 3 cases had secondary cerebral hemor- rhage, 18 cases had infection, 7 cases died Atrial fibrillation and diabetes mellitus were important risk factors of it. Conclusion Massive cerebral infarction, with speedy process and poor prognosis, of which disturbance of consciousness, headache, a- phasia and gaze are generally seen, should be given dehydration and surgical treatment as soon as possible in order to reduce mortality.