脑创伤致迟发性脑梗死临床分析

Relative Factors of Post-traumatic Delayed Cerebral Infarction in Clinic

目的探讨脑创伤后迟发脑梗死的发生机制,临床诊断及救治措施。方法对32例经影像学证实为颅脑创伤后迟发脑梗死患者的临床资料进行回顾分析。结果出院时按GOS标准评价:恢复良好12例、中残5例、重残4例、植物生存3例,死亡8例,其中非手术治疗20例,存活14例,死亡6例,死亡率30%;手术治疗12例,存活10例,死亡2例,死亡率17%。结论及时诊断与合理有效的治疗是提高脑创伤后迟发性脑梗死的治愈率及提高患者生存质量的关键。

Objective To explore the mechanism of post-traumatic delayed cerebral infarction as well as its diagnosis and therapy. Methods Thirty-two patients were diagnosed as post-traumatic dclayed cerebral infarction by imaging study. Their outcomes were analyzcd retrospectively. Rcsults The outcomcs were scalcd by GOS standard, i.e. good recovery in 12, moderate disability in 5, severe disability in 4, vegetative living in 3 and death in 8 patients. Among them, 20 patients were given expectant treatment including 6 ones who died （ with a mortality of 30% ）. Opcration was performed in 12 patients, 10 of whom survived （ with a mortality ot 17% ）. Conclusion Prompt diagnosis and reasonable therapy arc important to improve the survival and the outcomc of the patients with post-traumatic delayed cerebral infarction.