颅脑外伤继发脑梗死的治疗及预防分析

Traumatic Cerebral Infarction Secondary to Treatment and Prevention Analysis

目的对患有颅脑外伤继发出现脑梗死的患者进行治疗的方法进行分析,并总结预防措施。方法抽取96例在我院就诊的患有颅脑外伤继发出现脑梗死的临床确诊患者病例,将其分为A、B2组,平均每组48例。A组患者采用减压手术方法进行治疗;B组患者在亚低温状态下进行手术治疗。对2组患者在手术前后的颅内压、水肿体积的变化情况进行比较分析。结果分析结果表明,B组患者颅内压、水肿体积的减小程度明显高于A组患者,有显著的统计学差异(P<0.05);2组患者在治疗的过程中,均没有出现比较严重的并发症和不良反应现象,没有显著的统计学差异(P>0.05)。结论在亚低温状态下采用减压手术的方法对患有颅脑外伤继发出现脑梗死的患者进行治疗的临床效果十分明显,可以使患者的相关生理指标在最短的时间内得到显著改善,手术过程中患者不会出现严重的并发症和不良反应现象,安全性比较高,可以做为今后临床对该类患者进行治疗的首选方法。

Objective To suffering from head trauma occurs secondary to cerebral infarction patients were treated with the method of analysis,and summarizes preventive measures.Methods Selected 96 cases in our hospital with head trauma occurs secondary to cerebral infarction patients diagnosed in a case,which can be divided into A,B two group, average each of 48 cases. The A group were treated by deeompresalon operation for treatment;group B in subsets of patients at low temperature operation treatment.The patients in the two groups before and after the operation of intracranial pressure,edema volume change of comparative analysis.Results The results of analysis showed that,B group of patients with intracranial pressure,edema volume decreases significantly more than patients in the A group,had significant statistical difference（P^0.05）;two patients in the treatment process,all did not appear serious complications and adverse phenomenon,no significant statistical difference（e^0.05）.Conclusion In the mild hypothermia using decompression operation method on patients with craniocerebral trauma occurs secondary to cerebral infarction patients for treatment clinical effect is very obvious,can make a patient＇s physiological indexes in the shortest possible time has been significantly improved, operation process in patients with no serious complications and adverse phenomenon,security is relatively high,can do for future clinical for the patients were the preferred method of treatment.