国际脑血管病杂志
國際腦血管病雜誌
국제뇌혈관병잡지
INTERNATIONAL JOURNAL OF CEREBROVASCULAR DISEASES
2014年
4期
293-299
,共7页
梗死,大脑中动脉%减压术,外科%神经外科手术
梗死,大腦中動脈%減壓術,外科%神經外科手術
경사,대뇌중동맥%감압술,외과%신경외과수술
Infarction,Middle Cerebral Artery%Decompression,Surgical%Neurosurgical Procedures
恶性大脑中动脉梗死(malignant middle cerebral artery infarction,mMCAI)患者的转归很差,药物保守治疗的病死率高达80%.近几年发表的几项随机对照试验显示,偏侧颅骨切除术可显著降低mMCAI的病死率,是一种挽救患者生命的治疗措施,即使在年龄>60岁的患者.
噁性大腦中動脈梗死(malignant middle cerebral artery infarction,mMCAI)患者的轉歸很差,藥物保守治療的病死率高達80%.近幾年髮錶的幾項隨機對照試驗顯示,偏側顱骨切除術可顯著降低mMCAI的病死率,是一種輓救患者生命的治療措施,即使在年齡>60歲的患者.
악성대뇌중동맥경사(malignant middle cerebral artery infarction,mMCAI)환자적전귀흔차,약물보수치료적병사솔고체80%.근궤년발표적궤항수궤대조시험현시,편측로골절제술가현저강저mMCAI적병사솔,시일충만구환자생명적치료조시,즉사재년령>60세적환자.
The outcome of patients with malignant middle cerebral artery infarction (mMCAI) is very poor.The mortality of conservative medical treatment is as high as 80%.Several randomized controlled trials published in recent years have shown that hemicraniectomy can significantly reduce the mortality of mMCAI.It is a life-saving therapeutic measure for patients,even if so in patients older than 60 years of age.