大面积脑梗塞72例临床分析

目的探讨大面积脑梗塞的临床特点。方法对我院经CT或MRI证实的大面积脑梗塞72例患者,分析其临床表现。结果72例中合并出血性脑梗塞15例(21%),死亡22例,病死率31%,致残率98%,预后差。结论大面积脑梗死病情凶险,易出血,转化致出血性脑梗塞,早期予脑保护剂及高压氧并配合康复治疗可降低病死率及致残率,对内科治疗效差的尽早行去骨瓣减压术,可明显改善预后。

Clinic analysis of 72 cases of massive cerebral infarction

Objective To investigate the clinic characteristics of massive cerebral infarction.Methods 72 patients with massive cerebral infarction confirmed by CT or MRI in our hospital were selected and their clinical manifestations were analyzed.Results There were 15 patients with hemorrhagic infarct(21%) and 22 death cases(mortality:31%).The deformity ratio was 98%.The prognosis was poor.Conclusion The massive cerebral infarction is severe,and could cause hemorrhage and even hemorrhagic infarct.The administration of brain protective drug and high pressure oxygen associated with rehabilitation can decrease the mortality and deformity ratio at early stage.The prognosis can be improved by removing bone flaps for depression as early as possible.