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大面积脑梗死52例临床分析

Clinical Analysis of 52 Patients with Massive Cerebral Infarction

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【作者】 李伟俞建军

【Author】 Li Wei,Yu Jian-Jun (First People’s Hospital,Shandong Province,Jining 272011)

【机构】 山东省济宁市第一人民医院急诊科

【摘要】 目的:提高大面积脑梗死诊断、治疗水平,降低病死率和致残率。方法:对我院2005~2009年收治的52例大面积脑梗死的临床资料进行总结分析。结果:好转35例(67.31%),无变化8例(15.38%),死亡9例(17.31%)。结论:认为高血压病、糖尿病、冠状动脉粥样硬化性心脏病、心脏瓣膜病、高血脂等为其主要病因,结合临床表现和影像学特征有助于早期诊断,早期降颅内压,积极处理并发症、基础病,外科治疗均有助于降低病死率和致残率。

【Abstract】 Objective:To improve the levels of diagnosis and treatment for patients with massive cerebral infarction,so that to reduce the mortality and disability due to massive cerebral infarction.Methods:Clinical data of 52 cases with cerebral infarction were summarized and analysed,and all subjects were hospitalized in our hospital from 2005 to 2009.Results:There were 35 patients improved(67.3.1%),8 cases unchanged(15.38%),and 9 patients died(17.3 l%).Conclusion:Hypertension,diabetes,coronary heart disease,heart valve disease and hyperlipids are regarded as main pathogeny,and early diagnosis is done by means of clinical manifestations’ and imaging features.The mortality and disability are reduced via early decreasing intracranial pressure,actively dealing with complications,underlying diseases,and surgical treatment.

  • 【文献出处】 中国医药导刊 ,Chinese Journal of Medicinal Guide , 编辑部邮箱 ,2011年03期
  • 【分类号】R743.33
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