大面积脑梗死的临床分析

Clinical Analysis of Massive Cerebral Infarction

摘要: 目的：探讨大面积脑梗死的病因、临床表现和治疗方法。方法：66例大面积脑梗死患者为研究对象，分析大面积脑梗死的部位、病因、临床表现及治疗。结果：既往病史有高血压、冠心病、风心病、房颤、糖尿病、脑梗死等；临床表现包括意识障碍、偏瘫、偏身感觉障碍、向病灶对侧的凝视麻痹、脑膜刺激证阳性、语言障碍等；并发症有肺部感染、上消化道出血、高热、癫痫、急性肾衰竭等。结论：大面积脑梗死病因复杂，临床表现多样，预后较差。

Abstract: Objective: To investigate the clinical manifestation, etiology and treatment of massive cerebral in-farction. Methods: The location, etiology, clinical manifestations and treatment of 66 patients with massive cerebral infarction were analyzed. Results: Past medical history included hypertension, coronary heart disease, rheumatic heart disease, atrial fibrillation, diabetes, cerebral infarction, etc. The clinical manifestations included disturbance of consciousness, hemiplegia, sensory disturbance of deviant body, gaze paralysis to the opposite side of the lesion, positive meningeal irritation, lan-guage disorder, etc. Complications include pulmonary infection, upper gastrointestinal bleeding, high fever, epilepsy, acute renal failure, etc. Conclusion: The etiology of massive cerebral infarction is complex, the clinical manifestations are diverse, and the prognosis is poor.