论文部分内容阅读
目的探讨脑分水岭梗死的临床特征及治疗措拖。方法回顾分析82例患者的临床资料。结果基本痊愈51例,显著进步23例,进步6例,2例因合并多器官功能衰竭而死亡。结论CT及MRI使CWI与其他类型脑梗死更易识别,临床应减少脱水药物的应用,注重病因治疗,积极纠正低血压,扩充血容量。高血压的降压治疗应缓慢而适度,避免过度降压;脱水时应立即补液,及时止血及补充血容量,积极治疗原发病。对内科基础病因并有低血压或血灌注量不足起因者应考虑CWI。
Objective To investigate the clinical features and treatment measures of cerebral watershed infarction. Methods The clinical data of 82 patients were retrospectively analyzed. The results were basically cured in 51 cases, significant improvement in 23 cases, advanced in 6 cases, 2 cases died of multiple organ failure. Conclusion CT and MRI make CWI easier to identify with other types of cerebral infarction. It should reduce the application of dehydration drugs, pay attention to the cause of treatment, correct the hypotension and expand the blood volume. Hypertensive antihypertensive treatment should be slow and moderate, to avoid excessive blood pressure; dehydration should be immediately rehydration, timely hemostasis and blood volume, active treatment of the primary disease. CWI should be considered for causes of underlying underlying medical conditions and hypotension or insufficient blood perfusion.