Bovim G, Johnsen H J, Zwart J A
Nevrologisk avdeling Regionsykehuset i Trondheim.
Tidsskr Nor Laegeforen. 1995 Jan 20;115(2):203-6.
Brain infarction is a frequent cause of emergency admission to hospital. We have made a retrospective study in order to describe patients who develop fatally elevated intracranial pressure. From 1991 to 1993, seven patients (3.3%) died within the first 96 hours after the symptoms appeared. All these patients died from elevated intracranial pressure caused by oedema in and around an infarction in the territory of the middle cerebral artery. These patients were significantly younger than the general population of patients with infarction (p < 0.01), and also younger than the patients who died from other causes during the observation period (p < 0.01). We think that these cases underline the importance of establishing effective acute treatment for ischemic cerebrovascular diseases, since this is probably the only effective way to protect against formation of oedema.
脑梗死是急诊入院的常见原因。我们进行了一项回顾性研究，以描述那些出现致命性颅内压升高的患者。1991年至1993年期间，7名患者（3.3%）在症状出现后的头96小时内死亡。所有这些患者均死于大脑中动脉供血区梗死灶内及周围水肿所致的颅内压升高。这些患者明显比梗死患者的总体人群年轻（p<0.01），也比观察期内死于其他原因的患者年轻（p<0.01）。我们认为这些病例突显了建立有效的缺血性脑血管疾病急性治疗方法的重要性，因为这可能是预防水肿形成的唯一有效方法。
