脑疝后脑梗塞预后因素分析

Analysis of prognostic factors of cerebral infarction after cerebral hernia

目的探讨与脑疝后脑梗塞预后有关的相关因素。方法回顾性分析18例脑疝后脑梗塞患者的治疗方法(分为手术治疗和非手术治疗)、发病时GCS评分、发病时中线结构移位程度、发病时大脑脚池、环池受压程度、脑梗塞的大小等因素与脑疝后脑梗塞预后的关系。结果脑疝后脑梗塞发生时大脑脚池、环池明显受压者16例,GCS评分低于5分者13例,大面积脑梗塞者14例,它们均与脑疝后脑梗塞的预后关系密切。结论脑疝后脑梗塞发生时大脑脚池、环池受压明显,GCS评分低及大面积脑梗塞患者预后差对脑疝后脑梗塞的治疗有一定的临床意义。

Objective To investigate the related factors with prognosis of cerebral infarction after cerebral hernia. Methods A retrospective analysis of 18 cases of cerebral infarction after cerebral hernia was performed. The relationship between treatment （divided into surgical and non-surgical）, GCS score onset, degree of midline shift on- set, compression level of cerebral peduncle and ring pool, the size of cerebral infarction and other factors with progno- sis of cerebral infarction after cerebral hernia were analyzed. Results Sixteen cases of cerebral infarction after brain hernia occurred obvious compression level of cerebral peduncle and ring pool, 13 cases were found with GCS score less than 5 points, 14 cases with large area cerebral infarction. They have close relationship with the prognosis of cere- bral infarction after cerebral hernia. Conclusion The poor prognosis occurs in patients with obvious compression lev- el of cerebral peduncle and ring pool, and the low GCS score and massive cerebral infarction. It has certain clinical sig- nificance in the treatment of cerebral infarction after cerebral hernia.