颅脑损伤继发脑梗死相关危险因素分析  

Analysis of related risk factors of traumatic brain injury secondary to cerebral infarction

作　　者：王公平 张海涛 邵珍维 陈魏 岳新鹏 李鲁 李鑫 

机构地区：[1]中铁二十局中心医院神经外一科,咸阳712000

出　　处：《中国实用神经疾病杂志》2013年第15期23-24,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的通过对颅脑损伤继发脑梗死的相关危险因素进行分析,为降低脑梗死发生率提供理论指导。方法对就诊我院神经外科的360例颅脑损伤患者的临床资料进行回顾性分析,探讨颅脑损伤后继发脑梗死的相关危险因素。结果 360例颅脑损伤患者中21例发生TCI,发生率5.83%;50岁以上、GCS评分>8分、有脑疝和低血压的颅脑损伤患者,TCI发生率明显升高(P<0.05);21例TCI患者8例良好,4例轻度残疾,1例重度残疾,1例植物生存,7例死亡,病死率33.33%。结论年龄、GCS评分、脑疝、低血压、蛛网膜下腔出血、脱水剂应用等为TCI发生的相关危险因素。Objective To analyze some related risk factors of traumatic brain injury secondary to cerebral infarction, and to provide theoretical direction for reducing the incidence of cerebral infarction. Methods We chose 360 patients with traumatic brain injury in our hospital to retrospectively analyze their clinical data, and investigated some related risk factors of traumatic brain injury secondary to cerebral infarction. Results Twenty-one cases of 360 patients with traumatic brain injury occurred the traumatic cerebral infarction （TCI） and the incidence of TCI was 5.83~; Patients with traumatic brain injury （age more than 50 years, GCS score greater than 8 and complicating cerebral hernia and hypotension） had higher incidence of TCI. The progno- sis of 21 patients with TCI was evaluated by GCS score to find the following condition： 8 cases of good, 4 cases of mild disabili- ties, 1 case of severe disabilities, 1 case of plants survival and 7 deaths, and the fatality rate was 33.33%. Conclusion The age, GCS score, brain hernia, hypotension and subarachnoid hemorrhage as well as dehydrating agent application are some re- lated risk factors for TCI.

关 键 词：颅脑损伤 脑梗死 危险因素 

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