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目的:探讨老年人大面积脑梗死的临床特点。方法:回顾性分析80例老年人大面积脑梗死的临床资料。结果:死亡59例,存活21例,均遗留偏瘫、失语、吞咽障碍等后遗症,生活不能自理,其中8例呈植物状态。结论:对于老年人大面积脑梗死,针对危险因素积极有效干预可以降低发病率,加强对意识障碍的鉴别,及早头颅CT检查协助诊断,治疗中兼顾其他系统疾病,积极预防并发症、降低病死率。
Objective: To investigate the clinical features of large area cerebral infarction in the elderly. Methods: A retrospective analysis of 80 elderly patients with large area cerebral infarction clinical data. Results: 59 patients died and 21 patients survived. All left hemiplegia, aphasia, swallowing disorders and other sequelae, life can not take care of themselves, of which 8 were in vegetative state. Conclusion: For the large area cerebral infarction in the elderly, active and effective intervention for risk factors can reduce the incidence, enhance the identification of disturbance of consciousness, and early cranial CT examination to assist in the diagnosis and treatment of other systemic diseases, actively prevent the complications and reduce the mortality.