摘要
目的探讨大面积脑梗死的危险因素、临床特点及与预后的关系。方法回顾性分析69例脑梗死患者高危因素、临床经过、头颅CT、TCD检查结果及预后。结果本组患者中心源性栓塞21例,动脉-动脉源性栓塞12例,颅内动脉狭窄5例。治愈好转33例,无变化21例,死亡15例。结论脑栓塞是大面积脑梗死的主要原因。栓子主要来源于心脏及颈内动脉粥样硬化斑块;颅内动脉狭窄是其另一原因。预后与梗死面积有关。CT中线移位者死亡率更高。
[Objective] To study the clinical features and prognosis of large cerebral infarction. [Methods] The clinical data of 69 large cerebral infarction patients were retrospectively reviewed. [Results] There were 21 cardioembolic stroke,12 cases were caused arterid sources of emboli, 5 intraeranial artery stenosis. In our samples, 33 patients improved markedly or partly, 21 had no change in sysptom, 15 dead. [Conclusions] Brain embolism was the most frequent cause in large cerebral infarction. Atheroma in heart and carotid artery is the important source of emboli. The other cause was intracranial artery stenosis. The prognosis is significantly related to infracted area. Most mortality is mid-line dislocation of brain CT.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2006年第6期889-890,893,共3页
China Journal of Modern Medicine
关键词
大面积脑梗死
脑栓塞
预后
large cerebral infarction
brain embolism
prognosis
