颅脑损伤术后大面积脑梗死临床分析  

Clinical analysis of massive cerebral infarction after craniocerebral operation

作　　者：尹夕龙[1] 张浚[1] 赖连枪[1] 贾军[1] 钟天安[1] 仪立志[1] 许亦群[1] 

机构地区：[1]深圳市龙岗中心医院,广东深圳518116

出　　处：《临床医药实践》2007年第S1期509-510,共2页Proceeding of Clinical Medicine

摘　　要：目的:探讨颅脑损伤术后大面积脑梗死的临床特点、发病机制及治疗方法。方法:回顾分析自2002年1月-2006年12月间收治的50例颅脑损伤术后大面积脑梗死的治疗及愈后。结果:按GCS恢复标准评定治疗结果[1]:良好占60%,显效占20%,有效占12%,无效占8%。结论:术中采取预防措施,术后早期发现,早期积极采取扩容、使用钙离子拮抗剂、丹参、停用止血药、高压氧等治疗是良好愈后的关键。Objective:To explore clinical features,pathogenesis and treatment of massive cerebral infarction after craniocerebral operation.Methods:A retrospective analysis of 50 patients with craniocerebral injury in our hospital(from January,2002 to December,2006)was taken to analyze treatment of massive cerebral infarction after craniocerebral operation and the recovery.Results:Therapeutic result was evaluated by GCS score:good 60%,significant 20%,effective 12%,ineffective 8%.Conclusion:Take preventive measures in operation and find it out in early stage after operation that fluid expansion,Ca2+ antagonist,salvia miltiorrhiza,hyperbaric oxygen and stop hemostatics are the key to good recovery.

关 键 词：颅脑损伤 脑梗死 治疗 

分 类 号：R651.1[医药卫生—外科学]