CAJ | 학술논문

目的：观察并分析临床对出血性脑梗死患者的治疗效果。方法回顾性分析2010年1月至2013年12月本院收治的47例出血性脑梗死患者的临床资料。结果本组47例出血性脑梗死患者经积极治疗，基本痊愈11例(占23.40%)、显著有效22例(占46.81%)、有效6例(占12.77%)、无效6例(占12.77%)、死亡2例(占4.26%)；有效率为87.23%，其中1例形成脑疝、1例合并肾功能衰竭死亡。结论出血性脑梗死发病机制复杂，其主要原因为梗死后血管损伤和血流再灌注；梗死灶大小、部位、合并症以及出血发生早晚、出血类型等与其预后密切相关，及时明确诊断及针对性的治疗措施，对于改善患者的预后，提高其生活质量具有重要的临床意义。
목적：관찰병분석림상대출혈성뇌경사환자적치료효과。방법회고성분석2010년1월지2013년12월본원수치적47례출혈성뇌경사환자적림상자료。결과본조47례출혈성뇌경사환자경적겁치료，기본전유11례(점23.40%)、현저유효22례(점46.81%)、유효6례(점12.77%)、무효6례(점12.77%)、사망2례(점4.26%)；유효솔위87.23%，기중1례형성뇌산、1례합병신공능쇠갈사망。결론출혈성뇌경사발병궤제복잡，기주요원인위경사후혈관손상화혈류재관주；경사조대소、부위、합병증이급출혈발생조만、출혈류형등여기예후밀절상관，급시명학진단급침대성적치료조시，대우개선환자적예후，제고기생활질량구유중요적림상의의。
Objective?To?observe?the?therapeutic?effect?and?clinical?analysis?of?hemorrhagic?cerebral?infarction?patients.?Methods?Retrospective?analysis?of?2010?January?to?2013?December?in?our?hospital?treated?47?cases?of?clinical?data?of?patients?with?hemorrhagic?cerebral?infarction.?Results?In?this?group,?47?cases of hemorrhagic cerebral infarction patients after active treatment, 11 cases were basically cured (23.40%), signiifcant effective in 22 cases (46.81%), effective 6 cases (12.77%), invalid 6 cases (12.77%), 2 cases of death (4.26%); efifciency is 87.23%, of which 1 cases of formation cerebral hernia, 1 cases with?renal?failure?and?death.?Conclusion?The?pathogenesis?of?hemorrhagic?cerebral?infarction?is?complex,?the?main?reason?for?infarction?after?vascular?injury?and?reperfusion;?infarct?size,?location,?complications?and?bleeding,?bleeding?and?sooner?or?later?type?is?closely?related?to?the?prognosis,?timely?diagnosis?and?treatment for measures, to improve prognosis, it has important clinical signiifcance improve the quality of life.