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目的探讨非内科疾病合并的大面积脑梗死的临床特点。方法回顾26例非内科疾病合并的大面积脑梗死的临床资料。结果非内科疾病合并的大面积脑梗死患者,因不住内科治疗,使诊断和治疗均一定程度受限;必须仔细观察病情、早期诊断,针对病因和客观条件,综合治疗,特别是积极补液、高压氧治疗、Ca2+拮抗剂、亚低温治疗等,可使患者的生存率大大提高,减少致残率、死亡率。结论综合治疗可显著改善非内科疾病合并大面积脑梗死患者的预后。
Objective To investigate the clinical features of large-area cerebral infarction complicated by non-medical diseases. Methods The clinical data of 26 cases of large-area cerebral infarction complicated by non-medical diseases were retrospectively reviewed. Results Non-medical diseases in patients with large-area cerebral infarction, not because of medical treatment, diagnosis and treatment are limited to some extent; must be carefully observed the disease, early diagnosis, for the cause and objective conditions, comprehensive treatment, especially active rehydration, Hyperbaric oxygen therapy, Ca2 + antagonist, mild hypothermia treatment, etc., can greatly improve the survival rate of patients, reduce morbidity and mortality. Conclusion The comprehensive treatment can significantly improve the prognosis of patients with non-medical diseases complicated with large-area cerebral infarction.