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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。
Objective: To improve the diagnosis and treatment of large area cerebral infarction and reduce the mortality and morbidity. Methods: The clinical data of 52 cases of large-area cerebral infarction admitted from 2005 to 2009 in our hospital were summarized and analyzed. Results: The improvement was 35 cases (67.31%), no change in 8 cases (15.38%) and death in 9 cases (17.31%). Conclusion: Hypertension, diabetes mellitus, coronary heart disease, valvular heart disease and hyperlipidemia are the main etiologies. Combined with clinical manifestations and imaging features, it is helpful to early diagnosis, reduce intracranial pressure early, Complications, underlying disease, and surgical treatment all contribute to reducing mortality and morbidity.