惡性大腦中動脈綜合征的手術治療時機_《中國循證醫學雜志》

作者：

趙強 , 王德全 , 何東升 , 鄧增賦 , 樊偉

四川省資陽市第二人民醫院,簡陽,641400;

關鍵詞：

大腦中動脈綜合征腦梗塞手術治療手術時機

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目的　探討大腦中動脈梗塞所致惡性大腦中動脈綜合征的手術治療時機.
方法　對四川省資陽市第二人民醫院47例惡性大腦中動脈綜合征患者手術時機與療效的關系進行回顧性分析,并對比分析早期手術和延期手術的療效優劣,統計學分析使用SPSS10.0軟件.
結果　27例早期手術患者中,痊愈及良好的18例,重殘4例,死亡5例.20例延期手術患者中,痊愈及良好9例;重殘4例;死亡7例.延期組死亡率和重殘率高于早期組.
結論　合理選擇手術時機,可能減少惡性大腦中動脈綜合征的死亡率和重殘率.

引用本文： 趙強,王德全,何東升,鄧增賦,樊偉. 惡性大腦中動脈綜合征的手術治療時機. 中國循證醫學雜志, 2004, 04(3): 212-214. doi: 復制

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1. ［1］Kuroki K, Taguchi H, Sumida M,Yukawa O, Murakami T,Onda J, Eguchi K. Decompressive craniectomy for massive infartion of middle cerebral artery terrtory [ J ]. No Shinkei Geka, 2001 ;29(9) :831-835.
2. ［2］Wijdicks EF, Diringer MN: Middle cerebral artery terrtory infarction and early brain swelling: progression and effect of age on outcome[J]. Mayo Clin. Proc, 1998;73(9) :829-836.
3. ［3］Ma DZ, Yang L, Hao ZD. The effect of later surgery for unilateral cerebal hemisphere complete infarction[J]. Chinese Journal of Critical Care Medicine, 2003 ;23( 1 ) :51.
4. 馬東周,楊玲,郗振東.單側大腦半球完全梗死延遲手術的療效[J].中國急救醫學,2003;23(1):51.
5. ［4］Doerller A, Engelhom T, Heiand S,Benner T, Forsting M.Perfusion-and diffusion-weighted magnetic resonance images for monitoring decompressive craniectomy in animals with experimental hemispheric strike [ J ]. J Neurosurg , 2002; 96( 5 ) :933-940.
6. ［5］Manno EM, Adams RE, Derdeyn CP, Powers WJ, Deringer MN . The effects of mannitol on cerebral edema after large hemispheric cerebral infarct [ J ]. Neurology, 1999 ;52 (3) :583-587.
7. ［6］Schwab S , Steiner T , AschoffA , Schwarz S , Steiner HH ,Jansen O, Hacke W. Early hemicraniectomy in patients with complete middle cerbral artery infarction[J]. Stroke, 1998; 29(9): 1 888-1 893.
8. ［7］Cho DY , Chen TC , Lee HC. Ultra - early decompressive craniectomy for malignant middle cerebral artery infarction[J].Surg Neurol, 2003 ;60(3 ) :227-232.

《中國循證醫學雜志》

惡性大腦中動脈綜合征的手術治療時機

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《中國循證醫學雜志》

惡性大腦中動脈綜合征的手術治療時機

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

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Content

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