颅脑损伤后继发脑梗塞的相关因素分析

Analysis of relative factors of cerebra1 infarction complicated with traumatic brain injury

目的探讨颅脑损伤后继发脑梗塞的危险因素。方法本院于2008至2010年共收治中、重型颅脑损伤病人756例,其中发生继发性脑梗塞病人45例,对756例颅脑损伤患者的年龄、休克、外侧裂池周围脑挫裂伤、颅内血肿、脑疝、血沉、D-二聚体等因素与外伤性脑梗塞的关系进行回顾性分析。结果年龄、休克、外侧裂池周围脑挫裂伤、颅内血肿、脑疝、血沉、D-二聚体等因素与外伤性脑梗塞关系密切。结论年龄、休克、外侧裂池周围脑挫裂伤、颅内血肿、脑疝、血沉、D-二聚体是颅脑损伤继发脑梗塞的相关因素,对外伤性脑梗塞的防治有一定的临床意义。

Objective To investigate risk factors of cerebra1 infarction complicated with traumatic brain injury.Methods Retrospective investigation of relationship between cerebra1 infarction and age,shock,peri-sylvian area contusion,intracranial hematoma,brain hernia,erythrocyte sedimentation rate and D-dimer was conducted on 756 patients with medium or severe brain injury from 2008 to 2010.There were 45 cases with cerebra1 infarction.Results Traumatic cerebral infarction was closely connected with age,shock,peri-sylvian area contusion,intracranial hematoma,brain hernia,erythrocyte sedimentation rate and D-dimer.Conclusion Age,shock,peri-sylvian area contusion,intracranial hematoma,brain hernia,erythrocyte sedimentation rate and D-dimer are risk factors of cerebra1 infarction complicated with traumatic brain injury.It is necessary to take effective preventive or therapeutic measures if these risk factors exist.