《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (03): 215-217.

• 专题 脑梗死康复 • 上一篇    下一篇

去骨瓣减压术治疗急性大面积脑梗死临床观察

张家涌; 张扬; 赵晓文; 张彦芳; 李良; 鲍圣德   

  1. 北京大学第一医院神经外科,北京市 100034
  • 收稿日期:2006-12-31 出版日期:2007-03-01 发布日期:2007-03-01

Decompressive Surgery for Massive Hemispheric Infarction

ZHANG Jia-yong,ZHANG Yang, ZHAO Xiao-wen, et al   

  1. Department of Neurosurgery, Beijing University First Hospital, Beijing 100034, China
  • Received:2006-12-31 Published:2007-03-01 Online:2007-03-01

PDF (PC)

被引次数

3

摘要： 目的总结去骨瓣减压术治疗急性大面积脑梗死的手术时机、疗效,确定手术意义。方法回顾性分析6例急性大面积脑梗死患者因病情进行性加重,早期行去骨瓣减压术的临床资料。结果5例存活,其中4例经过康复,Barthel指数在60分以上。1例高龄患者死于肺部感染。结论去骨瓣减压是抢救进行性加重大面积脑梗死患者的有效手段,并有益于患者神经功能的恢复。

关键词: 脑梗死, 去骨瓣减压术, 治疗, 康复

Abstract: Objective To sum up the experience of decompressive surgery for the acute massive hemispheric infarction to determine its beneficial effects.MethodsRetrospectively study 6 patients receiving early decompressive craniotomy because of deterioration after infarction.Results 5 patients survived,4 of them recovered to the good level of daily activity (Barthel index ≥60) one year after rehabilitation.One senile patient died of pulmonary infection.ConclusionThe decompressive surgery is an effective method on the survival and functionary recovery for the patients with deteriorating massive cerebral infarction.

Key words: cerebral infarction, decompressive surgery, treatment, rehabilitation