颅脑外伤并发脑梗塞的临床分析  

Analysis of cerebral infarction in patients with traumatic brain injury

作　　者：曾峥 郑大海[2] 方陆雄[2] 

机构地区：[1]井冈山市人民医院,江西井冈山市343600 [2]南方医科大学附属南方医院,广东广州510515

出　　处：《井冈山学院学报（综合版）》2005年第10M期93-94,96,共3页Journal of Jinggangshan University

摘　　要：目的分析颅脑外伤后并发脑梗死的发生机制，探讨早期预防、救治的措施。方法总结自1997年1月至2003年1月收治颅脑外伤并发脑梗塞39例临床经验。结果按格拉斯哥结果分级判断预后的标准，治愈17例，中残5例，重残5例，植物生存3例，死亡9例。结论认为提高对颅脑外伤并发大面积脑梗塞的认识，早期诊断和早期治疗是提高疗效的保证，及时手术、术中、术后进行正确预防和治疗，将有助于改善患者的预后和提高生存质量。We reviewed the clinical data of 39 cases of cerebral infarction after traumatic brain injury, aiming to explore the pathogenesis and assess the prognosis of the condition so as to find effective prevention and treatment measure. According to Glasgow Outcome Scale （GOS） scores, 17 patients were classified as having good recovery, 7 moderate neurological deficit, 5 severe neurological deficit, and 3 in vegetative state, death occurred in 9 eases. These results indicate the mortality and morbidity of this condite are relatively high, and early diagnosis and treatment may improve prognosis. To operate in time, to apply correctly prevention and treatment in-operation and after-operation, which will improve prognosis and living quality.

关 键 词：颅脑损伤 脑梗塞 

分 类 号：R651.15[医药卫生—外科学]