外伤引发脑血管病变破裂出血临床分析  

Clinical analysis of rupture and hemorrhage of cerebral vascular disease induced by trauma

作　　者：马辉福[1] 胡亚伟[1] 郭强[1] 杨冬旭[1] 韩光魁[1] 张浩[1] 孔令胜[1] 颜世清[1] 靳峰[1] 

机构地区：[1]济宁医学院附属医院神经外科,济宁272029

出　　处：《中华神经创伤外科电子杂志》2017年第2期98-101,共4页Chinese Journal Of Neurotraumatic Surgery：Electronic Edition

摘　　要：目的探讨外伤引发脑血管疾病破裂出血的临床特征及治疗。方法回顾分析2012年6月至2016年5月济宁医学院附属医院神经外科收治的21例颅脑损伤引出脑血管疾病(动脉瘤、硬脑膜动静脉瘘、动静脉畸形、海绵状血管瘤)破裂出血患者的临床资料,了解脑血管疾病破裂出血与外伤的关系,并与自发性脑血管疾病出血比较,总结脑血管疾病因外伤引发出血的特点,指导临床诊治。结果 21例患者均有颅脑损伤病史,损伤轻但临床症状重,影像资料显示颅内出血广泛,其中蛛网膜下腔出血具多,并伴有脑血管疾病。明确诊断后分别行血管内栓或开颅手术治疗,无再出血发生,全部治愈。结论以外伤、特别是以颅脑损伤入院的患者,应结合病史和受伤机理,分析影像资料特点,考虑到并及时经过脑血管检查,明确病因,减少漏诊,达到最佳疗效。Objective To investigate the clinical characteristics and treatment of rupture and hemorrhage of cerebrovascular diseases caused by trauma. Methods The clinical data of 21 patients with cerebrovascular disease（aneurysm,dural arteriovenous fistula,arteriovenous malformations,cavernous hemangioma） were retrospectively analyzed during the period from June 2012 to May 2016,to understand the relationship between hemorrhage and trauma of cerebral vascular disease,and compared with the spontaneous cerebral hemorrhage hemorrhage,summarizes the characteristics of cerebral vascular disease caused by trauma,and guide the clinical diagnosis and treatment. Results Twentyone patients had a history of head injury,light injury but severe clinical symptoms,imaging data showed a wide range of intracranial hemorrhage,subarachnoid hemorrhage,and associated with cerebrovascular disease. After the diagnosis,the patients were treated with intravascular embolism or craniotomy,no re-bleeding occurred,and all the patients were cured. Conclusion In trauma,especially in craniocerebral injury patients admitted to hospital,should be take into account and examinate cerebrovascular timely,be combined with the history and analysis of the mechanism of injury,the characteristics of image data,to clear cause,reduce misdiagnosis,and achieve the best curative effect.

关 键 词：外伤 脑血管疾病 蛛网膜下腔出血 脑内血肿 

分 类 号：R651.12[医药卫生—外科学]