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采用内科疗法治疗广泛脑梗塞往往无效,外减压术效果也不理想。作者对二例患者行内减压术,取得较满意效果。例1,61岁女性患者,左颈内动脉闭塞;例2,56岁男性患者,左大脑中动脉闭塞,均出现右侧偏瘫及完全性失语,发病第3~4天双瞳孔不等大,意识(JCS)200,行包括海马回切除在内的内减压术,术后恢复顺利。此前行外减压术者12例,死亡4例,植物状态3例。与此相比,内减压术效果较好。
The use of medical therapy is often ineffective in treating extensive cerebral infarction, external decompression is not satisfactory. The author of two patients underwent decompression surgery, to obtain more satisfactory results. Cases of 1,61-year-old female patients with left internal carotid artery occlusion; cases of male patients aged 2,56, occlusion of the left middle cerebral artery, both right hemiplegia and complete aphasia, the incidence of 3 to 4 days double pupil unequal, Consciousness (JCS) 200, including decompression of the hippocampal gynecological resection, postoperative recovery smoothly. Previous decompression surgery in 12 cases, 4 patients died, 3 cases of plant status. Compared with this, decompression surgery is better.