创伤性脑梗死的诊治  

Diagnosis and Therapy of Traumatic Cerebral Infarction

作　　者：张金梁[1] 史学芳[1] 吴建梁[1] 范振增[1] 李轩[1] 杨建凯[1] 张超[1] 

机构地区：[1]河北医科大学第二医院神经外1科,河北省石家庄市050000

出　　处：《中国全科医学》2010年第18期2016-2018,共3页Chinese General Practice

摘　　要：目的探讨创伤性脑梗死(traumatic cerebral infarction,TCI)的分类、发病机制、临床特点、诊断及治疗方法。方法回顾性分析48例TCI患者的临床资料。结果 48例TCI患者中,治愈12例,好转18例,无明显变化4例,恶化8例,死亡6例。结论儿童及中年人TCI发病率较高,单纯性TCI和复合性TCI的病因不完全相同,治疗原则也不同。动态影像学检查有助于该病的早期诊断,颅脑CT检查为首选。早期发现及合理的治疗是决定TCI患者预后的重要因素,经药物、高压氧、理疗等综合治疗,本病患者大多数预后良好。Objective To explore the classification,etiopathogenesis,clinical characteristic,diagnosis and treatment of traumatic cerebral infarction（TCI）.Methods Clinical data of 48 TCI patients were analyzed retrospectively.Results Among 48 cases,12 were cured,18 improved,4 without obvious changes,8 deteriorated,6 died.Conclusion The TCI incidence rate is relatively high in children and middle-aged,and the etiologies of both simple and complex TCIs are not the same and their treatment principles different.Dynamic imagining is helpful to its early diagnoses,and brain CT examination is the first choice.Early detection and appropriate treatment are important factors for determination of the prognoses of TCI patients.Most TCI patients have favorable prognoses after comprehensive treatment of drugs,hyperbaric oxygen and physical therapy.

关 键 词：创伤性脑梗死 诊断 治疗 

分 类 号：R651.15[医药卫生—外科学]