回顾性分析40例创伤后脑梗塞  

Post-traumatic cerebral infarction: a retrospective analysis of 40 cases

作　　者：周平[1] 张玉定 邓燕[1] 胡钧涛[1] 张涛[1] 胡胜利[1] 刘开军[1] 张宇强[1] 王辉[1] 

机构地区：[1]十堰市太和医院(湖北医药学院附属医院)神经外科,湖北十堰442000 [2]谷城人民医院神经外科,湖北谷城441700

出　　处：《中华神经外科疾病研究杂志》2016年第2期124-127,共4页Chinese Journal of Neurosurgical Disease Research

摘　　要：目的研究创伤后脑梗塞的影像学特点以及临床特点,评估去骨瓣减压术治疗创伤后脑梗塞的效果。方法回顾性分析2010年1月到2013年8月40例创伤后脑梗塞病例,分析患者的临床及影像学资料。结果创伤后脑梗塞患者总体死亡率为80%,入院时GCS评分是判断预后的最有价值指标,结果显示GCS评分小于5分和高死亡率有相关性(P<0.05)。结论对于没有发展成为恶性创伤后脑梗塞的患者以及GCS高于5分患者,应该考虑早期去骨瓣减压以避免不可逆的脑梗塞发生。Objective The post-traumatic cerebral infarction imaging features and clinical characteristics are investigated,and the effect of decompressive craniectomy for post-traumatic cerebral infarction is evaluated.Methods A total of 40 cases of traumatic cerebral infarction including clinical and imaging data were analyzed retrospectively from January 2010 to August 2013.Results The overall mortality rate of post-traumatic cerebral infarction was 80%.GCS score at admission was the most valuable prognostic indicator.The results showed GCS score less than 5presaged high mortality rates（ P〈0.05）.Conclusion For those who does not develop into malignant post-traumatic cerebral infarction and those with GCS more than 5,early decompressive craniectomy should be considered in order to avoid the irreversible cerebral infarction.

关 键 词：颅脑损伤 去骨瓣减压 脑梗塞 

分 类 号：R651.16[医药卫生—外科学] R743.33[医药卫生—临床医学]