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目的研究大面积脑梗死的病因、临床表现、诊断及治疗。方法分析滁州市第一人民医院神经内科2003年1月至2008年4月收治的40例大面积脑梗死患者的临床资料。结果大面积脑梗死的主要病因为高血压、糖尿病、冠心病、心房纤颤、高脂血症。临床主要表现为意识障碍、偏瘫、言语障碍、头痛、呕吐、头颅CT和MRI是主要检查手段。结论大面积脑梗死预后差,致残率高,早期控制脑血管病危险因素,采取中西医综合治疗,是可行的方案。
Objective To study the etiology, clinical manifestation, diagnosis and treatment of large area cerebral infarction. Methods The clinical data of 40 patients with large area cerebral infarction who were admitted to Department of Neurology, Chuzhou First People’s Hospital from January 2003 to April 2008 were analyzed. Results The main causes of large area cerebral infarction were hypertension, diabetes, coronary heart disease, atrial fibrillation and hyperlipidemia. Main clinical manifestations of disturbance of consciousness, hemiplegia, speech disorders, headache, vomiting, head CT and MRI are the main means of examination. Conclusion Large area cerebral infarction with poor prognosis, high morbidity, early control of risk factors for cerebrovascular disease, the comprehensive treatment of traditional Chinese and Western medicine is feasible.