目的:探究大面积脑梗塞的临床特点和治疗方法。方法:回顾性分析我院2014年1月~2015年1月收治的70例大面积脑梗塞患者的临床资料,统计患者的临床表现特征以及相应的治疗方法,并分析患者的临床疗效。结果:导致大面积脑梗塞的原因主要是心源性栓塞和高血压脑动脉硬化等,该病的临床特点为发病急、发展快等,临床症状表现为颅内高压、意识障碍、病灶对侧偏瘫、同向性偏盲、眼球同向侧视障碍以及偏身感觉障碍等,经过治疗70例患者中5例患者死亡,存活率为92.86%,5例患者的死亡原因主要是并发的多功能器官衰竭或脑疝。结论:大面积脑梗塞疾病的治疗应根据患者的具体情况和临床特征,尽早的诊断和治疗,对于急性期治疗应积极控制脑水肿和颅内压,采取措施保护患者的脑部,以降低患者的死亡率,提高临床疗效。 Objective: To explore the clinical features and treatment of large area cerebral infarction. Methods: The clinical data of 70 patients with massive cerebral infarction admitted to our hospital from January 2014 to January 2015 were retrospectively analyzed. The clinical features and the corresponding treatment methods were analyzed. The clinical efficacy was analyzed. Results: The main causes of large-area cerebral infarction were cardiogenic embolism and hypertensive cerebral arteriosclerosis. The clinical features of the disease were acute onset and rapid development. The clinical manifestations included intracranial hypertension, disturbance of consciousness, contralateral Hemiplegia, homonymous hemianopia, ocular lateral vision disorder and partial sensory dysfunction, after treatment in 70 patients, 5 patients died, the survival rate was 92.86%, 5 patients died mainly due to concurrent multi-function organs Failure or brain hernia. Conclusion: The treatment of large-area cerebral infarction should be diagnosed and treated as soon as possible according to the specific conditions and clinical characteristics of patients. For the treatment of acute phase, cerebral edema and intracranial pressure should be controlled actively and measures should be taken to protect the brain of patients so as to reduce the patients’ The mortality rate, improve clinical efficacy.