大面积脑梗死合并心力衰竭及糖尿病的临床观察
发布时间：2019-05-21 13:50
【摘要】：目的探讨大面积脑梗死患者合并心力衰竭及糖尿病的临床治疗效果。方法回顾性分析我院收治的15例大面积脑梗死合并心力衰竭及糖尿病患者的临床资料,观察其治疗过程及结果,总结治疗解决方案。结果 15例患者中,疗效显著12例,神经功能恢复比较理想,心力衰竭临床症状及体征基本改善,血糖控制良好;植物状态1例(治疗过程中出现新发梗死部位严重,现仍在院治疗);死亡2例(心衰加重,卧床时间长,出现多种糖尿病并发症)。结论大面积脑梗死本身致残率高,合并心力衰竭的糖尿病的病死率、致残率更高。治疗过程中,以控制脑水肿为主,同时注重心衰的处理及血糖的调整,配合适宜肢体功能锻炼及合理饮食。最大限度减少患者各种并发症的发生,提高患者的生存质量,减轻家庭及社会的负担。
[Abstract]:Objective to investigate the clinical effect of heart failure and diabetes mellitus in patients with large area cerebral infarction. Methods the clinical data of 15 patients with large area cerebral infarction complicated with heart failure and diabetes mellitus treated in our hospital were analyzed retrospectively. the treatment process and results were observed and the treatment solutions were summarized. Results among the 15 patients, 12 cases were effective, the recovery of nerve function was satisfactory, the clinical symptoms and signs of heart failure were basically improved, and the blood glucose was well controlled. 1 case of vegetative state (severe new infarction during treatment, still in hospital), 2 cases died (heart failure aggravated, stay in bed for a long time, a variety of diabetic complications). Conclusion the disability rate of large area cerebral infarction itself is high, and the mortality and disability rate of diabetes mellitus complicated with heart failure are higher. In the course of treatment, we should mainly control brain edema, pay attention to the management of heart failure and the adjustment of blood glucose, cooperate with suitable limb functional exercise and reasonable diet. Minimize the occurrence of complications, improve the quality of life of patients, reduce the burden of family and society.
【作者单位】： 解放军第153中心医院;郑州大学第二附属医院神经内科;
【分类号】：R743.33;R541.6;R587.1
本文编号：2482139
[Abstract]:Objective to investigate the clinical effect of heart failure and diabetes mellitus in patients with large area cerebral infarction. Methods the clinical data of 15 patients with large area cerebral infarction complicated with heart failure and diabetes mellitus treated in our hospital were analyzed retrospectively. the treatment process and results were observed and the treatment solutions were summarized. Results among the 15 patients, 12 cases were effective, the recovery of nerve function was satisfactory, the clinical symptoms and signs of heart failure were basically improved, and the blood glucose was well controlled. 1 case of vegetative state (severe new infarction during treatment, still in hospital), 2 cases died (heart failure aggravated, stay in bed for a long time, a variety of diabetic complications). Conclusion the disability rate of large area cerebral infarction itself is high, and the mortality and disability rate of diabetes mellitus complicated with heart failure are higher. In the course of treatment, we should mainly control brain edema, pay attention to the management of heart failure and the adjustment of blood glucose, cooperate with suitable limb functional exercise and reasonable diet. Minimize the occurrence of complications, improve the quality of life of patients, reduce the burden of family and society.
【作者单位】： 解放军第153中心医院;郑州大学第二附属医院神经内科;
【分类号】：R743.33;R541.6;R587.1
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