老年慢性硬膜下血肿患者术后继发脑梗死临床分析

The Clinical Analysis on Cerebral Infarction after Operation for Subdural Hematoma in Senile Patients

目的:探讨老年慢性硬膜下血肿术后脑梗死的发病特点及防治措施。方法:总结分析21例老年慢性硬膜下血肿术后出现脑梗死患者。结果:多数患者具有高血压、高血脂、冠心病及糖尿病等多个脑梗死高危因素。术后脑梗死发生于术后1周内者18例,其中3天以内者16例;脑梗死发生于手术区域附近者14例,非手术区域附近者7例,其中5例的脑梗死发生于上述两个区域。结论:脑梗死发病的高危因素是颅脑术后脑梗死发生的主要原因。

Objective：To investigate and search for the causes of cerebral infarction after operation for subdural hematoma in senile patients and discuss the remedies for its prevention.Methods：Twenty-one senile patients with cerebral infarction after operation for subdural hematoma were reviewed retrospectively.Results：Most of the patients were found to be suffered with several risk factors of cerebral infarction such as hypertension,coronary cardiac diseases,diabetes mellitus and so on.Eighteen cases of infarctions occurred within a week after operation,including 16 cases within 3 days.Fourteen cases of the infarctions located in regions around the operative field,while 7 cases in non operation related area,and 5 cases in both areas.Conclusions：Risk factors of cerebral infarction were the main causes to result in cerebral infarction after operation for subdural hematoma.