23例外伤性脑梗死的临床分析  

作　　者：邓坚强 

机构地区：[1]湖南娄底市第一人民医院,湖南娄底417009

出　　处：《中外医疗》2011年第13期16-17,共2页China & Foreign Medical Treatment

摘　　要：目的结合临床实践经验,开展23例外伤性脑梗死的临床分析。方法选取2005年1月至2009年6月期间,我院23例外伤性脑梗死患者为研究对象,采用回顾性研究法,将患者的临床资料进行分类整理分析,探讨外伤性脑梗死的临床特点以及治疗方法,采用MicrosoftExcel建立数据库,运用SPSS13.0统计软件进行统计分析。结果根据患者的梗死面积及颅内压情况,确定治疗方法。13例患者接收非手术治疗,10例患者接受手术治疗,有9例梗死面积较大的患者,保守治疗无效,之后采用大骨瓣减压手术。患者出院时,参照GOS评估其预后情况,其中恢复良好16例(69.57%),中残3例(13.04%),重残1例(4.35%),植物生存1例(4.35%),死亡2例(8.70%)。结论外伤性脑梗死是多因素、多途径参与的病理过程,发病机制复杂,临床治疗要根据患者病情采取最有利的治疗方案,以提高治愈率。Objective Clinical practice experience,to carry out 23 cases of traumatic cerebral infarction analysis.Methods In January 2005～2009 during the period June,23 hospital patients with traumatic cerebral infarction study,a retrospective study,clinical data will be classified and analyzed to explore the traumatic cerebral infarction characteristics and treatment,to establish a database using Microsoft Excel,using SPSS 13.0 statistical software for statistical analysis.Results The patients with infarct size and intracranial pressure,determine the treatment.13 patients received non-surgical treatment,10 patients underwent surgery,9 patients had a larger infarct size in patients with conservative treatment fails,then surgery with hemicraniectomy.Patients discharged from hospital,in the light GOS to assess their prognosis,of which 16 cases of good recovery（69.57%）,moderate disability in 3 cases（13.04%）,severe disability in 1 case（4.35%）,vegetative in 1（4.35%）,2 deaths cases（8.70%）.Conclusion Traumatic cerebral infarction is multifactorial,multi-pathway is involved in the pathological process of pathogenesis of complex clinical condition of patients taken according to the most favorable treatment to improve the cure rate.

关 键 词：外伤性脑梗死 颅脑损伤 临床分析 

分 类 号：R651[医药卫生—外科学]