婴幼儿创伤性脑梗死治疗临床疗效研究

Clinical Efficacy Study in the Treatment of Infant with Traumatic Cerebral Infarction

目的:探讨婴幼儿创伤性后脑梗死综合诊治的临床疗效。方法:回顾性分析58例因车祸致脑梗死患者的资料,探讨综合治疗的临床疗效。结果:Glasgow预后评分(GOS)评定疗效:良好22例(37.9%),轻残14例(24.1%),重残12例(20.7%),植物生存2例(3.4%),死亡5例(8.6%),放弃治疗3例。GCS评分3~5分患儿病死率高于GCS>5分的患者(P<0.05)。结论:早发现、早诊断、早治疗是降低外伤性脑梗死的致残率、致死率的有效方法。根据脑梗死病因及早行病因治疗,尽早(在出现不可逆缺血损害前)行去骨瓣减压并硬脑膜敞开、颞肌贴敷术等外科治疗利大于弊。

Objective： To investigate the clinical efficacy of comprehensive diagnosis and treatment in infants with tranmatic posterior infarction.Method： Clinical data of 58 cases with cerebral infarction caused by car accidents were retrospective analyzed, and the clinical efficacy of comprehensive treatment was explored.Result： The efficacy assessed by Glasgow Outcome Scale （GOS） showed that the effects of 22 cases were good（37.9%）, and 14 cases were mild disabilities（24.1%）, and 12 cases were severe disabilities（20.7%）, and 2 cases were plant survivals（3.4%）, and 5 cases dead（8.6%）.Three cases gave up the treatment.The mortality rates of infants with GCS scores from 3 to 5 were higher than infants with GCS scores more than 5（P〈O.OS）.Con^lusion： Early discovery, diagnosis and treatment is the effective way to reduce the morbidity and mortality rates of traumatic cerebral infarction.The pathogeny treatment according to the pathogeny of cerebral infarction should be done early, and decompressive craniectomy and opening dural, temporal muscle sticking should be done early（before irreversible ischemic damage）, and its advantages are more than harm.