脑梗塞迄今一直是内科保守治疗为主,但对大块型脑梗塞,内科治疗常常失败。本文所见1例是大面积脑梗塞已并发脑疝,经手术治疗获得成功,现报告如下。 患者,男,60岁。因右侧肢体麻木伴无力,进行性加重5天,于1992年2月9日入院。查体:T37℃,P76次/分,R20次/分,BP18/11kPa,混合性失语,双侧瞳孔等大,对光反应存在,右小枢性面舌瘫,右上下肢肌力Ⅰ°, Cerebral infarction has so far been the main conservative treatment, but for large infarcts, medical treatment often fails. One case seen in this article is a large area of ​​cerebral infarction has complicated hernia, after the success of surgical treatment, are as follows. Patient, male, 60 years old. Due to the right limb numbness with weakness, progressive exacerbation of 5 days, February 9, 1992 admission. Physical examination: T37 ℃, P76 beats / min, R20 beats / min, BP18 / 11kPa, mixed aphasia, bilateral pupils and other large, the presence of light response, right lingual pivot lingual paralysis, right upper extremity muscle strength Ⅰ °,