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(shù)治療時機(jī).
方法 對四川省資陽市第二人民醫(yī)院47例惡性大腦中動脈綜合征患者手術(shù)時機(jī)與療效的關(guān)系進(jìn)行回顧性分析,并對比分析早期手術(shù)和延期手術(shù)的療效優(yōu)劣,統(tǒng)計(jì)學(xué)分析使用SPSS10.0軟件.
結(jié)果 27例早期手術(shù)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(shù)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(jié)論 合理選擇手術(shù)時機(jī),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(qiáng),王德全,何東升,鄧增賦,樊偉. 惡性大腦中動脈綜合征的手術(shù)治療時機(jī). 中國循證醫(yī)學(xué)雜志, 2004, 04(3): 212-214. doi: 復(fù)制
| 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(cè)大腦半球完全梗死延遲手術(shù)的療效[J].中國急救醫(yī)學(xué),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. |
- 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(cè)大腦半球完全梗死延遲手術(shù)的療效[J].中國急救醫(yī)學(xué),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.