Clinical study of characteristics of large cerebral infarction: 68 case report

VernacularTitle:大面积脑梗死68例临床特点分析
Author: Shiping SONG ; Ying LV ; Mingjie XU ; Wei LI ; Yongtao BAI
Publication Type:Journal Article
Keywords: cerebral infarction, rehabilitation, prognosis
From: Chinese Journal of Rehabilitation Theory and Practice 2003;9(10):626-627
CountryChina
Language:Chinese
Abstract: ObjectiveTo explore clinic features of large cerebral infarction and the relationship between infarcted area and prognosis.MethodsClinic materials such as dangerous factors, onset, course, treatment and prognosis, brain CT changes and internal carotid artery ultrasonic examinations of 68 patients with large cerebral infarction were analyzed retrospectively.ResultsThere were 28 cases caused by cerebral embolism, and 40 cases caused by cerebral thrombosis. 6 cases got recovery, and 34 cases, progress, and 11 cases,no progress, and 17 cases, death. ConclusionThe infarcted area was significantly related to prognosis (P<0.05). Internal carotid artery frequently occurring atheromas and senile non-valve atrial fibrillation were major embolic origins for large cerebral infarction.11 out of the 17 deaths could be attributed to brain herniation and secondary infection. The early abnormal brain CT showed that the rate of mortality was 62.5%, and the rate of mid-line dislocation was 42.9%. Either of them indicated that prognosis was bad.