42例颅脑损伤后并发脑梗死的诊断与防治策略  

The diagnosis and treatment strategies of 42 cases of cerebral infarction after traumatic brain injury

作　　者：王维[1] 任文博[1] 陈聪[1] 颜荣[1] 赵玉军[1] 刘振林[1] 

机构地区：[1]天津市第五中心医院脑系科,天津300450

出　　处：《中国医学工程》2013年第12期6-7,9,共3页China Medical Engineering

基　　金：滨海新区卫生局联合攻关资助项目(2011BHKL002);滨海新区卫生局一般扶持项目(2012BWKY001)

摘　　要：目的探讨颅脑损伤后并发脑梗死的诊断与防治策略。方法回顾性分析我科2010年1月-2012年6月收治的42例颅脑损伤后并发脑梗死患者的临床资料,对其临床表现、发病机制、治疗方法及预后进行分析总结。结果按照格拉斯哥预后评分(GOS)评价,随访3个月至1年,预后良好12例(28.6%),中残12例(28.6%),重残10例(23.8%),植物生存者3例(7.1%),死亡5例(11.9%),存活37例。结论对于颅脑损伤后并发脑梗死的患者,给予积极预防、早期诊断及治疗,将有助于改善患者的预后,提高生存质量。【Objective】To discuss the diagnosis and treatment strategies of cerebral infarction after traumatic brain injury. 【Methods】The data of 42 cases of cerebral infarction after traumatic brain injury were summarized and analyzed from January 2010 to June 2012.【Resluts】According to Glasgow Outcome Scale（GOS） scores, 12 cases were classified as good recovery,12 cases moderate recovery,10 cases severe neurological deficit,3cases in vegetative state,death occurred in 5 cases.【Conclusion】As to the patients of cerebral infarction after traumatic brain injury,making early prevention and diagnosis and treatment will improve the patients＇ life quality.

关 键 词：颅脑损伤 脑梗死 防治 

分 类 号：R651.15[医药卫生—外科学]