颅脑术后脑梗死

Post craniocerebral operative cerebral infarction

目的 探讨颅脑术后脑梗死的发病特点及防治措施。方法 回顾性总结了 10例颅脑术后脑梗死病例。结果 患者均具有高血压、冠心病及糖尿病等多个脑梗死高危因素。颅脑术后脑梗死发生于术后 1周内者 8例 ,其中 3天以内者 6例 ;脑梗死发生于手术区域附近者 4例 ,非手术区域附近者 7例 ,其中 1例的脑梗死发生于上述两个区域。结论 脑梗死发病的危险因素是颅脑术后脑梗死发生的主要原因。因手术引发的脑水肿、血液流变学和凝血机制的改变、出血及输血等是促发颅脑术后脑梗死的重要因素。围手术期对脑梗死发病的危险因素的及时诊断和治疗 ,是防止术后脑梗死发生的主要手段。

Objective Investigating and searching for the causes of post craniocerebral operative cerebral infarction,and discussing the remedies for its prevention. Methods 10 cases with post craniocerebral operative cerebral infarction were reviewed retrospectively. Results All of the cases were found to be suffered with several risk factors of cerebral infarction such as hypertention, coronary cardiac diseases, diabetes mellitus and so on. 8 of 10 infarctions occurred within a week post operation, including 6 cases within 3 days. 4 cases of the infarctions located in regions around the operative field and 6 cases in non operation related area. Conclusion Risk factors of cerebral infarction were the main causes to result in post craniocerebral operative cerebral infarction. Meanwhile, cerebral edema, changes of hemorheology and coagulative mechanism, bleeding and blood infusion resulted from operation, were some important factors accelerate the onset of post craniocerebral operative cerebral infarction. Appropriate diagnosis and treatment for the risk factors of cerebral infarction are the mainstay for preventing post craniocerebral operative cerebral infarctions.