外伤性脑梗死的临床诊疗分析

Clinical diagnosis and treatment of traumatic cerebral infarction

目的：探讨颅脑损伤后患者并发脑梗死的原因、临床表现、临床诊断、治疗方法以及预后。方法：选取本院2007年3月~2009年8月收治的58例患者的临床资料,并进行回顾性分析。结果：随诊半年后,利用格拉斯哥预后（GOS）评分系统和患者的日常生活质量进行评定,有28例（48.3%）患者恢复生活自理,中度残疾患者15例（25.9%）、重度残疾患者10例（17.2%）,植物生存患者2例（3.4%）,死亡3例（5.2%）。结论：外伤性脑梗死病死率高,主要的确诊手段是及时进行CT检查,选择恰当有效地治疗措施,可以有效地降低患者的致残率和死亡率,以提高患者的生活质量。

Objective：To investigate patients with cerebral infarction after head injury causes,clinical manifestations,clinical diagnosis,treatment and prognosis.Methods：Selected the hospital in March 2007 to August 2009 clinical data of 58 patients who were treated and it was retrospective analyzed.Results：Followed up six months after the use of Glasgow Outcome（GOS） rating system and assessed the quality of life of patients,28 cases（48.3%） patients to return to daily living,15 patients with moderate disability（25.9%）,10 patients with severe disability（17.2%）,plant survival in patients with 2 patients（3.4%）,3 patients died（5.2%）.Conclusion：Traumatic cerebral infarction mortality is high,the major diagnostic methods is timely CT,choose the appropriate,effective treatment measures can effectively reduce disability and mortality in patients to improve patient＇s quality of life.