颅脑外伤手术后并发脑梗死的临床治疗

Clinical treatment of cerebral infarction complicated with craniocerebral trauma after operation

目的观察并探究颅脑外伤手术后并发脑梗死的发病机制、临床诊断及治疗方法。方法对我院收治的51例颅脑外伤手术后并发脑梗死患者的临床资料进行回顾性分析。结果经过一段时间的综合治疗,4例患者恢复良好,12例中度残疾,7例重度残疾,5例持续性植物状态,3例死亡。患者治疗后昏迷指数(GCS)评分情况、颅内压及水肿体积明显优于治疗前,差异有统计学意义(P<0.05)。结论患者在接受颅脑外伤手术后,可能并发脑梗死症状,临床医护人员应做好早期预防与检查工作,并根据患者的具体情况采取合理、有效的治疗方法,在对脑梗死发生率进行有效控制的基础上,实现患者生存质量的全面提升。

Objective To observe and explore the pathogenesis, clinical diagnosis and treatment of the cerebral infarction complicated with craniocerebral trauma after operation. Methods The clinical date of 51 patients with cerebral infarction complicated with craniocerebral trauma after operation treated in our hospital was retrospectively analysis. Results After a period of comprehensive treatment, 4 of the 51 patients recovered well, 12 cases were moderate disability, and 7 cases of severe disability, 5 patients with persistent vegetative state, 3 cases died. After treatment, the Glasgow Coma Scale（GCS）, intracranial pressure and edema volume of patients were obviously better than that of before the treatment. The difference was statistically significant（P〈0.05）. Conclusion Patients may be complicated by cerebral infarction symptom after craniocerebral trauma surgery. So the clinical staff should do early prevention and inspection work well, and to take reasonable and effective treatment method according to the specific condition of patients. Realize the comprehensive promotion of quality of patients＇ life based on the effective control of the rate of cerebral infarction.