重型颅脑外伤合并外伤性大面积脑梗塞22例救治体会  

THE REMEDIAL REALIZATION OF 22 CASES OF SEVERE HEAD INJURY WITH EXTENSIVE TRAUMATIC CEREBRAL INFARCTION

作　　者：陈红春[1] 

机构地区：[1]江苏大学附属武进医院神经外科,常州213003

出　　处：《现代预防医学》2009年第20期3985-3986,共2页Modern Preventive Medicine

摘　　要：[目的]探讨重型颅脑外伤发生大面积脑梗塞的原因、临床特点、治疗方法。[方法]对22例重型颅脑外伤合并大面积脑梗塞患者的临床资料进行归纳分析,所有患者均采用手术治疗及综合治疗措施。[结果]按Gos标准评价,恢复良好4例,中残5例,重残3例,植物生存4例,死亡6例。[结论]外伤性脑梗塞与严重脑组织挫伤、局部血管机械性受压、严重颅高压血液流变学改变、血管内膜机械性损伤等等因素密切相关。重型颅脑外伤合并大面积脑梗塞病情危重,预后较差,尽早采取积极有效的治疗措施有利于改善患者预后。[ Objective] To approach the etiopathogenisises, clinical features and therapy methods of severe cranioeere- bral trauma with a large area cerebral infarction. [Methods] We analyzed the clinical data of 22 patients who underwent severe eraniocerebral trauma with a large area cerebral infarction. All patients were treated with operative and combined therapeutic measures. [ Results] According to the GOS evaluation standards, 4 patients showed good recovery, 5 patients were moderate disability, 3 patients were severe disability, 4 patients were vegetable survives, and 6 patients were death. [ Conclusion] Traumatic cerebral infarction was close correlation with severe brain tissue contusion, mechanical compression of focal blood vessels, changes of hemorrheology under severe intracranial hypertension and the mechanical injuries of endangium, etc. Due to the gravis pathogenetie condition and bad prognosis, it is necessary to take early active and effective therapeutic measures after severe eraniocerebral trauma with a large area cerebral infarction so that to improve the prognosis of patients.

关 键 词：重型颅脑外伤 大面积脑梗塞 救治 

分 类 号：R743.33[医药卫生—神经病学与精神病学]