颅脑损伤术后并发脑梗死的临床分析  

Clinical analysis of brain infarction after cranial brain injury

作　　者：李作士[1] 郑烈辉[1] 蔡少明[1] 黄正华[1] 洪映标[1] 

机构地区：[1]广东揭阳市人民医院神经外科,揭阳522000

出　　处：《中国实用神经疾病杂志》2006年第3期11-12,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨颅脑损伤术后脑梗死的发生机制及治疗方法。方法回顾分析24例颅脑损伤术后病人发生脑梗死的临床资料。结果保守治疗19例,开颅减压5例,死亡7例。结论颅脑损伤后如手术指征明确则须及时手术。术后注意病情变化采取综合治疗措施。应积极保持脑灌注压、维持血压及血氧,降低颅内压,改善脑血管痉挛,早期扩管改善微循环,有利于降低死残率,改善预后。Objective To investigate the mechanism, etiology and therapy brain infarction after cranial brain injury. Methods To review the clinical data of 24 cases with brain infarction after cranial brain injury. Results 19 cases patients treated with conservefive way.5 cases with craniotomy decompression, 7 cases died. Conclusion Operation must be done in time after cranial brain injury and, then comprehensive measures such as keeping brain infusion contiuously, maintaining blood pressure and blood oxygen, decompressing intra - cranial pressure to improve brain vascular spasm, and vascular dilation to improve microcirculation must be done, these measures which benefit to decrease mortality and disable rate. and improve prognosis effectively.

关 键 词：颅脑损伤 脑梗死 脑灌注压 脑血管痉挛 

分 类 号：R747.9[医药卫生—神经病学与精神病学]