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大骨瓣减压术能缓解颅内高压,防止脑疝和由其引起的死亡,提高恶性大脑中动脉供血区脑梗死(MMCI)患者的存活率,改善患者的功能预后。但MMCI存活患者中有相当一部分遗留严重的功能障碍,就MMCI患者手术时机的选择、手术指征的掌握等方面也存在不同观点,由此也影响了大骨瓣减压术在MMCI临床治疗中的应用。目前多数情况下临床上仍将大骨瓣减压术作为保守治疗无效情况下的一种救命性治疗手段,而随着手术的开展,大骨瓣减压术在改善MMCI患者的功能预后方面的积极作用正日益受到重视。
Big bony decompression can relieve intracranial hypertension, prevent hernia and the death caused by it, improve the survival rate of patients with malignant cerebral artery infarction (MMCI) and improve the prognosis of patients. However, a considerable number of patients with MMCI have serious residual dysfunction. There are also different views on the timing of operation, the indications of operation, and other aspects of MMCI, which also affects the treatment of MMCI in the clinical treatment of MMCI Applications. At present, the majority of cases still clinically large flap decompression as a conservative treatment ineffective case of a life-saving treatment, and with the operation, the large flap decompression in improving the functional prognosis of MMCI patients Positive effects are increasingly being taken seriously.