颅脑外伤后脑梗死的危险因素及临床疗效研究  

The risk factors and clinical efficacy of cerebral infarction after craniocerebral trauma

作　　者：梁韡斌 牙昌权 谢伟星[1] 朱云中[1] 张晓宁[1] 韦展亮 曾敬 郭建辉 Liang Weibin;Ya Changquan;Xie Weixing;Zhu Yunzhong;Zhang Xiaoning;Wei Zhanliang;Zeng Ji ng;Guo Jianhui(Department of Craniocerebral Surgeiy Xianhu Hospital, The First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine,Nanning,Guangxi 530023,China)

机构地区：[1]广西中医药大学第一附属医院仙葫院区颅脑外科,广西南宁530023

出　　处：《医药前沿》2019年第2期59-60,共2页Journal of Frontiers of Medicine

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题:合同号Z2016661.

摘　　要：目的:探讨颅脑外伤后脑梗死的危险因素及临床疗效.方法:收集2017年10月—2018年10月本院收治的颅脑外伤患者62例,分析颅脑外伤后发生脑梗死的高危因素,并制定具有针对性的临床治疗方案,并对其临床疗效进行有效探讨.结果:收治的颅脑外伤患者62例中,有16例患者发生脑梗死,发生率为25.81%(16/62).多因素分析发现高龄(≥50岁)、GCS评分<5分;颅底骨折、低血压休克、蛛网膜下腔出血、感染为颅脑外伤后脑梗死患者的危险因素(P<0.05).结论:感染、颅底骨折、高龄以及低血压休克是颅脑遭受外部损伤后所致的脑梗死的高危因素,及时制定有针对性的治疗方案,才能改善患者预后.Objective To explore the risk factors and clinical effects of cerebral infarction after craniocerebral trauma.Methods 62 cases of patients with craniocerebral trauma from October 2017 to October 2018 were collected,the high-risk factors of cerebral infarction after craniocerebral trauma were analyzed,and a targeted clinical treatment program was developed.Results 16 patients developed cerebral infarction,with an incidence of 25.81%(16/62).Multivariate analysis found that old age (≥50) and GCS score < 5. Skull base fracture, hypotension shock, subarachnoid hemorrhage, infection were the risk factors for cerebral infarction patients after craniocerebral trauma (P < 0.05).Condusion Infection, skull base fracture, senile age and hypotension are the high risk factors in cerebral infarction caused by external injury which wise to establish a targeted treatment plan in time to improve the prognosis of patients.

关 键 词：颅脑外伤 脑梗死 危险因素 临床疗效 

分 类 号：R651[医药卫生—外科学]