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目的探讨急性脑梗死所致颅内高压的特点及治疗方法。方法选取2011年5月~2012年5月娄底市中心医院收治的急性脑梗死所致颅内高压患者78例,分析急性脑梗死所致颅内高压的特点及各治疗方法的适应证与禁忌证。结果应用介入溶栓治疗的总有效率及患者的致残率、死亡率均与去骨瓣减压术治疗无统计学差异;而介入溶栓治疗的患者术前准备时间、手术时间及患者的住院时间均小于去骨瓣减压术治疗的患者,差异有统计学意义(P<0.05)。结论对于急性脑梗死所致的颅内高压应当根据患者的临床特征,要把握时机选择合适的治疗方法,其中介入溶栓溶栓治疗临床效果较理想。
Objective To investigate the characteristics and treatment of intracranial hypertension caused by acute cerebral infarction. Methods 78 patients with intracranial hypertension caused by acute cerebral infarction admitted to Loudi Central Hospital from May 2011 to May 2012 were selected to analyze the characteristics of intracranial hypertension caused by acute cerebral infarction and the indications and contraindications of each treatment . Results The total effective rate of interventional thrombolysis and the morbidity and mortality of patients were not significantly different from those of decompressive craniectomy. The preoperative preparation time, operation time and patients’ The hospitalization time was less than the patients treated with decompressive craniectomy, the difference was statistically significant (P <0.05). Conclusion For patients with intracranial hypertension due to acute cerebral infarction should be based on the clinical features of patients, to seize the opportunity to choose the appropriate treatment, including interventional thrombolytic therapy clinical results are satisfactory.