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目的探讨大面积脑梗死的病因、临床特点、治疗与预后的关系。方法回顾性分析36例脑梗死患者的临床表现、头颅CT检查结果及治疗和预后。结果本组36例,经抗凝、降颅压等积极治疗,9例死亡,27例存活。其中基本治愈5例,病情好转18例,转外科手术1例,病情无好转3例。结论大面积脑梗死的病死率、致残率较高,经积极有效地治疗及康复训练,仍可取得较好的效果。
Objective To explore the etiology, clinical features, treatment and prognosis of large area cerebral infarction. Methods The clinical manifestations, head CT findings and treatment and prognosis of 36 patients with cerebral infarction were retrospectively analyzed. Results The group of 36 patients, after anticoagulant, intracranial pressure and other active treatment, 9 patients died, 27 patients survived. Among them, 5 cases were basically cured, 18 cases improved, 1 case turned to surgery, and 3 cases showed no improvement. Conclusion The mortality and morbidity of large-area cerebral infarction are high. After active and effective treatment and rehabilitation training, good results can still be obtained.