摘要
目的探讨小脑梗死的临床分型与治疗效果。方法回顾性分析107例小脑梗死患者的临床资料,总结其治疗方法及效果。结果107例小脑梗死患者,除因年龄较大,伴有严重肺心疾病,5例放弃治疗外,其余102例根据小脑梗死的临床分型进行治疗,轻型保守治疗73例,恢复均良好,良好率为71.57%;重型采取后颅窝开颅术25例,21例恢复良好,良好率为20.59%,4例死亡,死亡率为3.92%;因不能耐受手术,采取侧脑室引流术4例,2例恢复良好,良好率为1.96%,2例死亡,死亡率为1.96%;总预后良好率为94.12%。结论临床上将小脑梗死分为轻型和重型,对其进行对症治疗有着积极的临床意义。
Objective To discuss the clinical classification and therapeutic effect of cerebellar infarction.Methods The clinical data of 107 patients with cerebellar infarction were analyzed retrospectively,and the therapeutic methods and effects were summarized.Results Among 107 patients with cerebellar infarction,5 patients gave up treatment due to older age and serious lung and heart disease.The remaining 102 cases were treated according to the clinical classification of cerebellar infarction,and 73 cases were treated conservatively with a good recovery rate of 71.57%;for severe cases,25 cases were treated with posterior fossa craniotomy,21 cases recovered well,with a good recovery rate of 20.59%,and 4 cases died,with a death rate of 3.92%;4 cases were treated with lateral ventricular drainage because they could not tolerate surgery,2 cases recovered well,with a good recovery rate of 1.96%,2 cases died,with a death rate of 1.96%.The overall good prognosis rate was 94.12%.Conclusion The clinical classification of cerebellar infarction into mild and severe cerebellar infarction is of positive clinical significance to carry out symptomatic treatment.
作者
岳修臣
张芹
张静
孙许林
李耀华
刘杰
YUE Xiu-chen;ZHANG Qin;ZHANG Jing(Gaomi People's Hospital,Gaomi 261500,China)
出处
《中国实用医药》
2023年第4期38-40,共3页
China Practical Medicine
基金
2020年潍坊市科技发展计划项目(项目编号:2020YX136),项目名称:小脑梗塞的临床分型及治疗的临床研究。
关键词
小脑梗死
临床分型
保守治疗
后颅窝开颅
Cerebellar infarction
Clinical classification
Conservative treatment
Posterior fossa craniotomy
