Folkerts H, Dittmar G, Lincke H O
Neurologische Klinik, Städtische Kliniken Dortmund.
Nervenarzt. 1990 Dec;61(12):725-30.
Mass cerebral infarction have a high lethality already in the first week after onset. Surviving patients often have severe residual neurological deficits. We analysed the clinical course of 49 patients with space-occupying cerebral infarctions in a retrospective study. We differ subtotal infarction in the region of middle cerebral artery (MCA) from complete infarction and from complete infarction in the region of MCA with additional infarction on the same hemisphere. The quick development from depression of consciousness, the Babinski-phenomena on both sides and the central failure of respiration were the most valuable clinical predictors. Together with the clinical parameters, the Mathew-score and the CT and EEG-results it is possible, to estimate a reliable prognosis. The reduction and termination of no longer useful treatments will be discussed.
大面积脑梗死在发病后的第一周内就具有很高的致死率。存活的患者往往有严重的神经功能缺损后遗症。我们在一项回顾性研究中分析了49例占位性脑梗死患者的临床病程。我们将大脑中动脉（MCA）区域的次全梗死与完全梗死以及MCA区域的完全梗死且同一半球伴有额外梗死区分开来。意识障碍的快速发展、双侧巴宾斯基征以及中枢性呼吸衰竭是最有价值的临床预测指标。结合临床参数、马修评分以及CT和脑电图结果，有可能估计出可靠的预后。还将讨论不再有效的治疗方法的减少和终止。
