外伤性脑梗死的病因分析与防治策略

Cause Analysis and Prevention and Control Strategy of Traumatic Cerebral Infarction

外伤性脑梗死是颅脑外伤患者比较常见且严重的一种并发症。其病因主要是脑血管壁损伤、血管受机械牵拉挤压、脑血管痉挛及低灌注、氧自由基及其他血管活性物质的改变。随着影像技术的发展进步,外伤性脑梗死的早期诊断已基本能做到,了解其主要发病机制以后,针对性地给予扩容,保证脑灌注压。通过提早预防、早期手术和内科药物、物理治疗方法,改善预后。

Traumatic cerebral infarction is a common and serious complication of patients with traumatic brain injury. Its pathogenesis is mainly cerebrovascular wall damage, blood vessels stretch and squeeze by mechanical force,cerebral vaso- spasm and low perfusion, oxygen free radicals and other vasoactive substances change. Through the early prevention, early operation and medicine drugs, physical therapy to improve the prognosis.