颅脑损伤术后并发脑梗死的研究进展  

Reserch of Craniocerebral Trauma Complicated by Brain Infarction

作　　者：张国来[1] 闵怀伍[1] 向言召[1] 韩繁龙[1] 曹宁[1] 

机构地区：[1]延安大学附属医院神经外科,陕西省延安市716000

出　　处：《中国全科医学》2012年第18期2129-2131,共3页Chinese General Practice

摘　　要：颅脑损伤术后并发脑梗死的发生机制复杂,临床症状、体征缺乏特异性,诊断较为困难,而术后脑梗死患者的死残率居高不下,严重影响患者的生活质量。因此,颅脑损伤术后应高度警惕其脑梗死并发症的可能,提高对该并发症的病因、危险因素的认识,以便在术中避免医源性损伤,防止因减压窗不充分导致血管嵌顿受压,术后尽早行颅脑CT或MRI明确诊断,同时采取相应的综合治疗措施,早期使用钙离子拮抗剂、脑保护剂等降低患者死亡率,提高其生活质量。本文主要就颅脑损伤术后脑梗死的病因、危险因素、诊断及防治措施的研究进展做一综述。The mechanism of craniocerebral trauma complicated by brain infarction is complexed, and the clinical symptoms and signs are lack of specificity. So the diagnosis is more difficult. The high mortality and disability rate of postopera- tive complications has seriously jeopardized the quality of life of patients. Therefore, physicians should be highly alert to the pos- sibility of brain infarction complications after craniocerebral traumam and improve the understanding of the cause and the risk fac- tors of this complication so as to avoid iatrogenic injury during postoperative, preventing vascular incarcerated compression caused by inadequate decompression window and do head CT or MRI and confirm the diagnosis as early as possible after surgery. At the same time, appropriate comprehensive treatment measures, like the use of calcium antagonists and cerebral protective agent in the early stage, should be taken to reduce the mortality rate of patients and improve the quality of life of patients. This paper briefly reviewed the causes, high risk factors, diagnosis and progress in prevention measures of brain infarction after craniocere- bral trauma.

关 键 词：颅脑损伤 手术后并发症 脑梗死 

分 类 号：R651.15[医药卫生—外科学] R743.33[医药卫生—临床医学]