颅脑创伤后脑梗塞的临床诊治

Diagnosis and Treatment of Cerebral Infarction after Craniocerebral trauma

目的探讨影响颅脑创伤后并发脑梗塞的相关因素及治疗方法。方法对44例颅脑创伤后脑梗塞患者临床资料结合文献进行分析。结果出院时按GOS评价:良好27例,中残6例,重残3例,植物生存3例,死亡5例。结论正确认识颅脑创伤后脑梗塞的发生原因及时手术、术后正确地治疗,可有效的减少和减轻脑梗塞的发生,提高生存质量。

Objective To discuss the correlative factors infecting complicated cerebal infarction after craniocerebral trauma and the therapy. Methods Combined with literature, an analysis was made to the clinical data of 44 cases with cerebral infarction after craniocerebral trauma. Results Among all the cases evaluated with GOS at their discharge, 27 cases recovered satlsfactorily,10 cases were with moderate disability,3 cases were with severe disability,3 cases became plant men and 5 cases died. Conclusions Correct diagnosis, prompt operation and effective treatment after operation can reduce and relieve the risks of occurrence of cerebral infarction and improve the prognosis.