Comparison of clinical diagnosis and treatment of massivecerebral infarction at acute stage

Objective To analyze the results of diagnosis and treatment of cerebral infarction at acute stage and offer reference for clinical intervention.Methods Totally 129 cerebral infarction patients at acute stage were selected from April2006 to January 2012 and divided into observation group(43 cases with large cerebral infarction area) and control group(86cases with less cerebral infarction area).The results of treatment of cases in both groups were compared.Results The proportions of conscious disturbance,complete hemiplegia,aphasia,progressively intracranial hypertension in patients of observation were high and the distribution of infarction foci was also wide in addition to complicated with pneumonia,cerebral hemorrhage after infarction,stress ulcer and mortality were also high in observation group compared to that of the control group(P20.05).Logistic regression analysis showed that senile age,hypertension,hyperglycemia,hyperlipidemia,heart disease history,cerebral stroke were the risk factors associated with the occurrence of massive cerebral infarction(P 2 0.05).Conclusion The symptom of massive cerebral infarction is severe with unfavorable prognosis and early intervention is the effective measure to reduce the occurrence of massive cerebral infarction.