目的探讨大面积脑梗死的临床诊断特征及抢救方法,以提高大面积脑梗死的存活率。方法对收治的43例大面积脑梗死患者的临床资料进行回顾性分析。结果 43例患者中存活33例,死亡10例,其中因脑疝死亡4例,因并发症死亡6例。结论大面积脑梗死必须根据症状特征进行快速准确的诊断,并积极采取有效的脱水治疗,防止肺部感染,慎用溶栓和抗凝药物治疗。 Objective To investigate the clinical diagnosis and treatment of large area cerebral infarction to improve the survival rate of large area cerebral infarction. Methods The clinical data of 43 patients with massive cerebral infarction admitted to our hospital were retrospectively analyzed. Results Of the 43 patients, 33 survived and 10 died. Among them, 4 died of herniation and 6 died of complications. Conclusion Large area cerebral infarction must be diagnosed quickly and accurately according to the symptom characteristics, and actively take effective dehydration therapy to prevent lung infection, caution thrombolysis and anticoagulant therapy.