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目的探讨脑分水岭的临床特征及诊治。方法回顾分析52例患者的临床资料。结果 52例患者症状均明显改善,无1例死亡。结论 CWSI的治疗与其他脑梗死基本相同,以改善脑循环、增加脑血流供应为主,特别注意基础病因的治疗,如纠正低血压、治疗休克、补充血容量;倘若存在颈内动脉高度狭窄或闭塞者,则必须行颈内动脉内膜切除术或颅内外动脉搭桥手术,但因其手术的复杂性和高风险性等因素受到一定的限制;存在心源性或动脉源性栓塞可能,应予抗凝或抗血小板凝集疗法;同时对原存在的心脏病进行适当处理;血流变异常者认真纠正;严格甘露醇在脑梗死治疗中应用的指征。
Objective To explore the clinical features and diagnosis and treatment of brain watershed. Methods The clinical data of 52 patients were retrospectively analyzed. Results The symptoms of 52 patients were significantly improved, no one died. Conclusion The treatment of CWSI is basically the same as that of other cerebral infarction. It is mainly to improve cerebral circulation and increase the supply of cerebral blood flow. Special attention should be paid to the treatment of underlying etiology, such as correcting hypotension, treating shock and supplementing blood volume. If there is a high stenosis of internal carotid artery Or occlusion, you must underwent internal carotid endarterectomy or extracranial arterial bypass surgery, but because of its complexity and high risk of surgery and other factors subject to certain restrictions; there may be cardiac or arterial embolism may, Should be anticoagulant or anti-platelet aggregation therapy; the same time, the existing heart disease for proper treatment; abnormal blood flow abnormal correction; strict mannitol in the treatment of cerebral infarction indications.