颅脑损伤继发外伤后脑梗死的危险因素分析

Risk factors for post-traumatic cerebral infarction following craniocerebral injury

目的探讨颅脑损伤继发外伤后脑梗死的危险因素。方法对1028例颅脑损伤患者的性别、年龄、伤后血压、脑损伤类型、是否并发脑疝、是否合并糖尿病、是否手术等相关因素与外伤后脑梗死的关系进行回顾性分析。结果继发外伤性脑梗死者61例,其中年龄、低血压或休克、蛛网膜下腔出血、脑挫裂伤、硬膜下血肿、并发脑疝、合并糖尿病等因素与外伤性脑梗死关系密切(P<0.05)。结论年龄、低血压或休克、蛛网膜下腔出血、脑挫裂伤、硬膜下血肿、并发脑疝、合并糖尿病等因素是颅脑损伤继发外伤后脑梗死的危险因素。

Objective To evaluate the risk factors for post- traumatic cerebral infarction （FTCI） following craniocerebral injury. Methods A total of 1028 cases with craniocerebral injury were analyzed in regard of gender, age, low blood pressure or shock, traumatic subarachnoid heraorrhage, cerebral contusion and laceration,subdural hematoma, epidural hematoma, brain hernia, diabetes and operation. Results There were 61 cases suffering from FrcI. Age, low blood pressure or shock, traumatic subarachnoid hemorrhage, cerebral contusion and laceration, subdural hematoma, brain hernia, and diabetes had close relationship with FTCI （ P 〈 0.05）. Conclusions Age, low blood pressure or shock, traumatic ubarachnoid heraorrhage, cerebral contusion and laceration, subdural hematoma, brain hernia, and diabetes are the main risk factors for FTCI following craniocerebral injury.