中国继续医学教育
中國繼續醫學教育
중국계속의학교육
CHINA CONTINUING MEDICAL EDUCATION
2015年
4期
39-40
,共2页
脑干梗死%临床表现%临床分析
腦榦梗死%臨床錶現%臨床分析
뇌간경사%림상표현%림상분석
Brainstem infarction%Clinical manifestation%Clinical analysis
目的：探讨影响脑干梗死治疗及预后的因素。方法回顾性分析28例脑干梗死的病因、临床表现、并发症、治疗及预后，并结合相关文献对影响预后的因素进行分析。结果28例中，痊愈3例，致残18例，植物生存3例，死亡4例，病死率15.2%。死因：3例死于中枢性呼吸衰竭，1例因放弃呼吸机辅助呼吸而死亡。结论脑干梗死主要病因是动脉粥样硬化，眩晕、恶心、呕吐为首发表现，肺部感染为主要并发症。脑干梗死的面积及是否在6h内进行有效的溶栓治疗是决定预后的主要因素。
目的：探討影響腦榦梗死治療及預後的因素。方法迴顧性分析28例腦榦梗死的病因、臨床錶現、併髮癥、治療及預後，併結閤相關文獻對影響預後的因素進行分析。結果28例中，痊愈3例，緻殘18例，植物生存3例，死亡4例，病死率15.2%。死因：3例死于中樞性呼吸衰竭，1例因放棄呼吸機輔助呼吸而死亡。結論腦榦梗死主要病因是動脈粥樣硬化，眩暈、噁心、嘔吐為首髮錶現，肺部感染為主要併髮癥。腦榦梗死的麵積及是否在6h內進行有效的溶栓治療是決定預後的主要因素。
목적：탐토영향뇌간경사치료급예후적인소。방법회고성분석28례뇌간경사적병인、림상표현、병발증、치료급예후，병결합상관문헌대영향예후적인소진행분석。결과28례중，전유3례，치잔18례，식물생존3례，사망4례，병사솔15.2%。사인：3례사우중추성호흡쇠갈，1례인방기호흡궤보조호흡이사망。결론뇌간경사주요병인시동맥죽양경화，현훈、악심、구토위수발표현，폐부감염위주요병발증。뇌간경사적면적급시부재6h내진행유효적용전치료시결정예후적주요인소。
Objective To investigate the factors inlfuencing the treatment and prognosis of brain stem infarction. Methods Retrospectively analyzed the cause, clinical manifestations, complications, treatment and prognosis of 28 cases of brainstem infarction, and analyzed factors affecting the prognosis combined with relevant literature. Results In 28 cases, 3 cases <br> cured, 18 cases of disability, plant survival in 3 cases, 4 cases died, the mortality was 15.2%. Death causes:3 patients died of central respiratory failure, and 1 patient died of abandoning assisted breathing with ventilator. Conclusion Brainstem infarction is a major cause of atherosclerosis, the first clinical manifestations are dizziness, nausea, vomiting, the main complication is pulmonary infection. The area of the brainstem infarction and whether have an effective thrombolytic therapy within 6 h is the main factor to determine the prognosis.
