CAJ | 학술논문

恶性大脑中动脉梗死(malignant middle cerebral artery infarction,mMCAI)患者在重症监护室内接受保守治疗时的病死率高达41％～78％,恶性脑水肿引起的小脑幕切迹疝形成是导致患者死亡的最常见原因.一些证据支持偏侧颅骨切除术用于mMCAI患者的治疗.在做出手术治疗决策之前,必须对患者进行支持性和辅助性治疗,因此,mMCAI的预测和重症监护治疗具有十分重要的意义.文章对mMCAJ的预测因素和重症监护治疗进行了综述.
악성대뇌중동맥경사(malignant middle cerebral artery infarction,mMCAI)환자재중증감호실내접수보수치료시적병사솔고체41％～78％,악성뇌수종인기적소뇌막절적산형성시도치환자사망적최상견원인.일사증거지지편측로골절제술용우mMCAI환자적치료.재주출수술치료결책지전,필수대환자진행지지성화보조성치료,인차,mMCAI적예측화중증감호치료구유십분중요적의의.문장대mMCAJ적예측인소화중증감호치료진행료종술.
Mortality of patients with malignant middle cerebral artery infarction (mMCAI) is as high as 41％ to 78％ with the conservative treatment in the intensive care unit.Malignant edema caused tentorial herniation is the most common cause of resulting in the death of patients.Some evidence supports the hemicraniectomy for the treatment of patients with mMCAI.The patients must receive supportive and adjuvant therapies before surgical decision making.Therefore,the prediction and intensive care of mMCAI have a very important significance.This article reviews the predictive factors and intensive care of mMCAI.