脑外伤后脑梗死42例临床分析  

作　　者：袁鹏[1,2] 方波[1,2] 周玮[1,2] 黄涛[1,2] 邹胜伟[1,2] 

机构地区：[1]重庆市第四人民医院 [2]重庆市急救医疗中心神经外科,400014

出　　处：《中国医疗前沿》2010年第17期59-60,共2页China Healthcare Innovation

摘　　要：目的探讨脑外伤后脑梗死的病因及防治措施。方法总结分析42例重型颅脑外伤后脑梗死患者的临床资料与相应的治疗措施。结果所有病例均为重型脑外伤行开颅血肿清除、去骨瓣减压术,术后检出脑梗死后积极给予内科治疗,恢复良好者10例,中残6例,重残4例,植物生存状态4例,死亡18例,病死率为42.9%。结论重型脑外伤患者容易并发脑梗死,病死率极高。早期诊断、合理的诊疗及术中操作、得当的术后处理及周密细致的护理是救治脑外伤后脑梗死患者的关键。Objective To investigate the cause of cerebral infarction after traumatic brain injury and treatment methords. Methods To analyse the clinical data and the corresponding treatment results of 42 cases of severe craniocerebral trauma with cerebral infarction. Results All of these patients suffered by severe craniocerebral trauma are treated by hematoma evacuation, decompressive craniectomy, and medical treatment. 10 of the 42 cases recovered well, 6 cases result in moderate disability, 4 cases severe disability, 4 cases vegetative state, 18 cases dead, the fatality rate is 42.9%. Conclusion Patients with severe craniocerebral trauma are easy to complicated with cerebral infarction. Early diagnosis, rational treatment and surgery, postoperative nursing care and medical treatment are very important to these patients.

关 键 词：颅脑外伤 脑梗死 CT 

分 类 号：R743.33[医药卫生—神经病学与精神病学]