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报告48例大面积脑梗塞,占同期住院464例脑梗塞的10.4%,其中男25例,女23例,年龄36—86岁;55岁以上38例占79.2%。既往史:高血压17例,动脉硬化32例,冠心病16例,风心病5例,房颤10例,慢性肾炎和糖尿病各1例,脑血栓8例,脑栓塞6例,本文侧重讨论大面积脑梗塞预后。诊断标准:45例经头部 CT 扫描,3例经尸检证实。45例 CT 扫描时间,发病后48小时以内25例;3～12天20例,发现额颞顶叶大面积梗塞41例,额顶叶大面积梗塞4例。梗塞范围最大9×4.5×4.0cm,最小6×3.5
48 cases of cerebral infarction were reported, accounting for 10.4% of 464 cases of cerebral infarction in hospital during the same period, including 25 males and 23 females, aged 36-86 years old; 38 cases over 55 accounted for 79.2%. Past history: 17 cases of hypertension, arteriosclerosis in 32 cases, 16 cases of coronary heart disease, rheumatic heart disease in 5 cases, 10 cases of atrial fibrillation, chronic glomerulonephritis and diabetes in 1 case, 8 cases of cerebral thrombosis, cerebral embolism in 6 cases, this article focuses on large Area of cerebral infarction prognosis. Diagnostic criteria: 45 cases of head CT scan, 3 confirmed by autopsy. 45 cases of CT scan time, 25 cases within 48 hours after onset; 20 cases of 3 to 12 days, found frontal parietal infarction in 41 cases, frontal lobe large infarction in 4 cases. Infarct range up to 9 × 4.5 × 4.0cm, the smallest 6 × 3.5