多模态脑监测对急性大面积脑梗死后脑水肿评估作用研究进展OACSTPCD

With the aging of the population,cerebrovascular diseases have become the second leading cause of death in the world,and acute cerebral infarction accounts for about 80%of cerebrovascular diseases.Acute massive cere-bral infarction refers to a large area of brain ischemia and necrosis due to arterial occlusion caused by arteriosclerosis and thrombosis of the internal carotid artery or the middle cerebral artery,with the features of high incidence rate,mortality rate,and disability rate.After the onset of acute massive cerebral infarction,the disease progresses seriously and rapidly,and cerebral edema occurs after the damage and necrosis of a large number of brain cells,which further compresses nerves and leads to further brain tissue damage,resulting in life-threatening conditions like cerebral hernia without timely and ef-fective treatment.Therefore,bedside dynamic monitoring of cerebral edema is of great importance for assessing disease conditions,judging prognosis,and guiding clinical treatment.This article reviews the application value of various monitor-ing methods in dynamic assessment of cerebral edema after acute massive cerebral infarction,so as to provide a reference for future clinical diagnosis and treatment.