外伤性脑梗塞的临床特点及防治

The Clinical Characteristics, Prophylaxis and Treatment of Traumatic Cerebral Infarction

目的探讨外伤性脑梗塞的临床特点,做到积极预防、早期发现、早期治疗。方法回顾性分析该院2009年1月—2014年3月,神经外科颅脑外伤住院患者中,51例发生外伤性脑梗塞患者的诊治经过。结果外伤性脑梗塞发生率占同期颅脑创伤住院患者总数的3.9%。伤后12个月GOS评分1分7例;2分5例;3分10例;4分12例;5分17例。死亡及重残比率为43%。结论外伤性脑梗塞是导致颅脑外伤患者死残率增高的主要并发症,依据其发生、发展的特有规律早期预防,是减少外伤性脑梗塞发生率,降低死亡及重残比率的关键。

Objective To investigate the clinical characteristics of traumatic cerebral infarction（TCI） and early positive prevention,detection and treatment of the disease should be done. Methods A review was conducted on the diagnosis and treatment of 51 TCI patients among the hospitalized patients with craniocerebral trauma in the Department of Neurosurgery of our hospital from January2009 to March 2014. Results 3.9% of the patients with craniocerebral trauma hospitalized during the same period had TCI. 12 months after injury, GOS was 1 point in 7 patients, 2 points in 5 patients, 3 points in 10 cases, 4 points in 12 patients, and 5points in 12 patients. The mortality and disability rate（MADR） was 43%. Conclusion TCI is a major complication that causes the increase of MADR in craniocerebral trauma patients. The early prophylaxis of TCI based on its special occurrence and progression pattern is the key to reducing the incidence of traumatic cerebral infarction and its MADR.