颅脑外伤后脑梗死危险因素分析  

Analysis of risk factors for post-traumatic cerebral infarction

作　　者：张旸[1] 葛玉元[1] 李洪福[1] 

机构地区：[1]江苏省中西医结合医院神经外科,南京210028

出　　处：《临床神经外科杂志》2013年第4期208-209,共2页Journal of Clinical Neurosurgery

摘　　要：目的分析探讨颅脑外伤后脑梗死的发生机制以及危险因素。方法采用回顾性研究方法,调查110例颅脑外伤病例,分析颅脑外伤后脑梗死的相关因素。结果颅脑损伤后并发脑梗死与GCS评分、年龄、有无蛛网膜下腔出血、有无脑疝、是否有高血压病史有关,差异有统计学意义(P<0.05),与患者性别、受伤原因以及类型无关,差异无统计学意义(P>0.05)。结论中、重型颅脑外伤患者有脑疝、蛛网膜下腔出血及高龄、合并高血压病史易发生外伤性脑梗死。对脑外伤的及早综合治疗,积极预防脑梗有助于改善患者预后,降低致残及死亡率,提高患者的生存质量。Objective To analysis the factors and pathogenesis of post-traumatic cerebral infarction（PTCI）. Methods The clinical data of 110 patients with traumatic brain injury were included in this study, the risk factors were analyzed retrospectively. Results GCS, age, subarachnoid hemorrhage, cerebral hernia and hypertension were closely correlated with the occurrence of lYFCI （P 〈 O. 05）. But not with sex, injury reasons unrelated to injury type, the difference was not statistically significant （ P 〉 0.05 ）. Conclusions Traumatic brain injury patients with cerebral herniation, old age, subaraehnoid hemorrhage and history of hypertension are prone to PTCI. Early treatment of brain trauma, and active prevention of cerebral infarction can help to reduce disability and mortality, improve prognosis and patients＇quality of life.

关 键 词：颅脑外伤 脑梗死 危险因素 

分 类 号：R651.1[医药卫生—外科学]