脑干梗死28例临床分析与治疗

摘要

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 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.%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。