引用本文:上官稳,蒋中凤.大面积脑梗死68例临床分析[J].中国临床新医学,2008,1(1):71-72.
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大面积脑梗死68例临床分析
上官稳,蒋中凤
471000 洛阳,河南科技大学第二附属医院神经内科
摘要:
[摘要] 目的 探讨影响大面积脑梗死预后的原因与对策。方法 对68例患者的并发症、死亡原因及影像学动态改变进行分析。结果 经治疗进步22例,显著进步16例,去皮层状态5例,死亡13例,自动出院12例,电话随访死亡9例,总的死亡率32.35%。结论 脑疝是急性期死亡的主要原因,肺部感染及全身功能状况差等是病人死亡的另一重要原因,联合应用不同环节的各种方法或药物,并在疾病的不同阶段有所侧重才是最佳选择。
关键词:  大面积脑梗死  诊断与治疗  临床分析
DOI:
分类号:R 743.33
基金项目:
Clinical analysis of 68 cases of large cerebral infarction
SHANGGUAN Wen, JIANG Zhong-feng
Department of Neurology, the Second Affiliated Hospital of Henan University of Science and Technology, Luoyang 471000, China
Abstract:
[Abstract] Objective To explore the causes and solutions with the impact of large cerebral infarction for prognosis.Methods The complications, the cause of death and the dynamic change of imaging in 68 patients with large cerebral infarction were analyzed. Results There were 22 cases of progress, 16 cases of significant progress, 5 cases of the state of the cortex, 13 cases of death. 12 cases automatically discharged from hospital. 9 cases died during telephone follow-up. The total mortality rate was 32.35%.Conclusion Hernia is the leading cause of death in acute stage, lung infection and function of the body in the poor state is the another important cause of death, combination of different segments of the various methods or drugs and at different stages of the disease have focused on is the best choice.
Key words:  Large cerebral infarction  Diagnosis and treatment  Clinical analysis