脑外伤后脑梗死43例诊治分析

Analysis of Cerebral infarction Caused by external injury for 43 Cases

目的：探讨脑外伤后脑梗死的病因病理及理想的治疗与康复。方法：将我科自1999年1月-2006年2月收治的43例脑外伤后脑梗死患者，采用纠正低血氧症、保持有效脑灌注、维持脑微循环、及时外科手术等综合措施治疗回顾性的分析。结果：本组43例，成活36例，其中恢复良好21例，中、重残13例，植物生存2例，死亡7例。结论：重视脑外伤的早期救治是预防和治疗脑外伤后脑梗死的关键；抓住脑外伤后脑梗死早期综合性的治疗可明显提高其存活率、降低残废及死亡率；针对病因。及时处理，维持脑微循环、稳定颅内内环境、行梗死侧额颞顶去大骨瓣减压并行颞肌敷贴于缺血或损毁脑组织表面。对降低死亡率、提高生存质量具有肯定的意义。

Objective：To explore the pathologic and ideal treatment in cause of disease that brain external injury back of cerebral infarction with recover from illness. Methods： Accept February to the 2006 from January of1999 my section 43 cases brains external injury back of cerebral infarction that cure the sufferer, adopting to rectify the low blood oxygen and keeps the valid brain pour into pressure and maintain the brain tiny circulation on time surgical operation etc. synthesizes the analysis that cure the measure review. Results： 43 examples, this set, live 36 examples, among them recover good 21 examples, 13 examples： medium and heavy disabled, the plant exists 2 examples; Die 7 examples. Conclsions： It. is key to prevent with cure external injury back cerebral infarction that earlier period that value the brain exterrnal injury save to curei holding tight the earlier period of extermal injury back impatient cerebral infarction synthesizes the sexual treanent can increase obviously its survive the rate and lower physically disabled and dea,h races; aim at the caause of didease, ou time handles, maintaining the brain tiny circulation, stabilize the in skull inside environment, line obstruct die the, side frontal and temporal and parietal bones goes to the big bone petal decompression abreast the temporal mnsele to apply sticks in lack the blood or damage the brain the buiidup the surface, to lowers the death rate and merewes to exist the quantity have the affirmative meaming.