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大面积脑梗死单纯减容治疗6例报告
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Abstract:
目的：探讨更有效治疗大面积脑梗死恶性脑水肿的外科方法。方法：选择超时间窗或取栓失败、保守治疗过程中预期发生恶性脑水肿的病例，使用充分内减压而保全颅骨的方法。结果：6例患者全部存活出院。没有一例发生硬膜下积液等常见的术后并发症。在9个月的随访期内，6例患者5例存活。1例患者能自行走动。结论：大面积脑梗死恶性脑水肿的患者，用单纯内减压方法处理，存活率高，并发症少，值得推荐。
Objective: To explore a more effective surgical method for the treatment of malignant cerebral edema in massive cerebral infarction. Methods: The patients with malignant cerebral edema due to exceeding the time or failure of thrombectomy and conservative treatment were selected to use sufficient internal decompression and preserve their skull. Results: All 6 patients survived and were discharged. There were no common postoperative complications such as subdural effusion. During the 9-month follow-up period, 5 of 6 patients survived. One patient was able to walk around. Conclusion: For patients with malignant cerebral edema caused by massive cerebral infarction, simple internal decompression is recommended with a high survival rate and few complications.
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