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大面积脑梗塞是指颈内动脉或大脑中动脉主干的完全性闭塞所引起的大脑半球大部分脑组织缺血坏死。头颅CT上显示2个脑(?)以上的低密度区。临床症状严重,预后不好,死亡率高。现将我科54例大面积脑梗塞病人分析如下。 1 临床资料 我科1991年元月～1993年9月共收治大面积脑梗塞患者54例,全部头颅CT检查确诊,其中男24例,女30例,年龄38～77岁,平均年龄54.23±4.15岁。既往有冠心病伴房颤者9例,风心病伴房颤者5例,另有冠心病史者8例,发病前心电图表现为窦性心律、有ST—T波的轻度改变或显著改变。3种情况共22例,占40.7％。 1.1 起病形式 睡眠后发病25例,轻微活动(做家务、说话、散步)时发病16例,看电视时发病3例,2例有生气诱因,2例在治疗房颤时发病,2例在
Large area of cerebral infarction refers to the internal carotid artery or middle cerebral artery occlusion caused by the complete occlusion of most of the brain hemisphere ischemic necrosis. Head CT showed two brain (?) Above the low-density area. Serious clinical symptoms, the prognosis is not good, high mortality. Now 54 cases of large area cerebral infarction in our analysis as follows. 1 Clinical data Our department from January 1991 to September 1993 were admitted to a large area of cerebral infarction in 54 patients, all head CT examination confirmed, including 24 males and 30 females, aged 38 to 77 years, mean age 54.23 ± 4.15 year old. Previous coronary heart disease with atrial fibrillation in 9 cases, rheumatic heart disease with atrial fibrillation in 5 cases, and another history of coronary heart disease in 8 cases, before the onset of ECG showed sinus rhythm, mild ST-wave changes or significant changes . A total of 22 cases of three cases, accounting for 40.7%. 1.1 The onset form After onset of sleep in 25 cases, mild activity (housework, talking, walking) when the onset of 16 cases, watching television incidence of 3 cases, 2 cases of inducement, 2 cases in the treatment of atrial fibrillation onset, 2 cases in