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目的:探讨大面积脑梗塞的死亡原因,分析临床治疗方法,保障患者的生活质量。方法:选取于2013年1月-2015年10月在本院接受治疗的大面积脑梗塞患者共25例。回顾性分析患者的临床表现、计算机断层扫描(CT)检查结果以及治疗方法。结果:死于脑疝共13例,占52.0%;死于心功能衰竭共4例,占16.0%;死于上消化道出血共3例,占12.0%;死于室性心律失常共3例,占12.0%;死于肺部感染共2例,占8.0%。结论:对于大面积脑梗塞患者,一旦得到确诊,应及时为患者实施降低颅内压、控制脑水肿、静脉溶栓、保护活化脑细胞、预防并发症以及基础疾病治疗等综合治疗,这样能够有效降低患者的病死率,挽救患者的生命,保障患者的生活质量。
Objective: To investigate the causes of death in large area of cerebral infarction, analyze the clinical treatment methods and ensure the quality of life of patients. Methods: A total of 25 patients with large area cerebral infarction who were treated in our hospital from January 2013 to October 2015 were selected. A retrospective analysis of the patient’s clinical manifestations, computed tomography (CT) examination results and treatment. Results: 13 cases died of herniation, accounting for 52.0%; 4 died of heart failure, accounting for 16.0%; 3 died of upper gastrointestinal bleeding, accounting for 12.0%; 3 died of ventricular arrhythmia , Accounting for 12.0%; a total of 2 patients died of pulmonary infection, accounting for 8.0%. Conclusion: For patients with large area cerebral infarction, once the diagnosis is confirmed, it should be timely for patients to implement comprehensive treatment such as reducing intracranial pressure, controlling cerebral edema, intravenous thrombolysis, protecting activated brain cells, preventing complications and treating underlying diseases, which can be effective Reduce the patient’s mortality, save the patient’s life and ensure the quality of life of patients.