Massive cerebral infarction with heart failure of treatment methods.doc

 PAGE \* MERGEFORMAT 11 Massive cerebral infarction with heart failure of treatment methods [Abstract] Objective To investigate the massive cerebral infarction with heart failure during treatment methods techniques. Methods 28 cases of large area cerebral infarction patients with heart failure treatment and the results were retrospectively analyzed and summarized in the treatment of cerebral edema occurred during and effort failure increased with each other contradictory solutions. Results 28 patients with adequate treatment, the survival of 24 cases, recovery of neurological functions better. Conclusion The treatment of cerebral infarction with heart failure to control brain edema mainly take into account the treatment of heart failure, dehydration by furosemide, supplemented mannitol, adequate blood pressure control, adjust blood sugar. [Keywords:] cerebral infarction, cerebral edema, heart failure, treatment Massive cerebral infarction is the carotid artery, middle cerebral artery or a cortical branch stroke, patients showed disturbance of consciousness, paralysis, partial body sensory deficits, aphasia, and gaze palsy [1]. Now in January 2002 -2008 September in our hospital with massive cerebral infarction with heart failure (CHF patients with a total of 28 cases were summarized, are as follows. 1 Clinical data 1.1 General Information The group of 28 patients, 17 males and 11 females, aged 52 to 76 years, an average of 61 years. 9 patients with previous coronary heart disease, rheumatic heart disease in 13 cases, expanded heart disease in 2 cases, no clear history of heart disease 4 cases. admission cardiac function 4 in 16 cases, three in 10 cases, 2 cases of grade 2, GCS score 3 to 6 minutes and 15 cases, 11 cases from 7 to 12 points, 13 to 15 minutes in 2 cases. 1.2 Clinical manifestations (1 symptoms: 28 cases were sudden onset of nausea, vomiting, headache and limb dysfunction, including 16 cases of clear aphasia, incontinence in 14 c