重型脑外伤后脑梗死的相关危险因素探讨

Discuss of related risk factors of cerebral infarction after severe brain injury

目的:观察分析引发重型脑外伤患者外伤后脑梗死的危险因素,并制定科学合理的护理措施。方法:回顾性研究我院神经外科接诊的239例重型颅脑损伤患者临床资料,分析其性别、年龄、GCS评分等诸多因素与是否发生脑梗死的相关性。结果:性别、是否手术与患者并发脑梗死无相关性(P>0.05),而患者年龄、GCS评分、有无颅骨骨折、蛛网膜下腔是否出血、是否低血压休克、是否低钠血症以及有无感染等因素都与其是否并发脑梗死密切相关(P<0.05)。结论:导致重型脑外伤后脑梗死的原因较为复杂,给予患者及时有效的防治,可有效提升其生存率和改善预后。

Objective：To observe and analyze the risk factors of cerebral infarction in patients with severe traumatic brain injuries and formulate scientific and reasonable nursing measures. Methods ： We retrospectively investigated the clinical data of 239 cases of patients with severe craniocerebral injuries re- ceived by the neurosurgery department in our hospital, and analyzed the correlations between their ages, genders, GCS scores, and many other factors and the possibilities of cerebral infarction. Results ： There was no correlation between the gender, the surgery and the concurrent cerebral infarction （ P 〉 0.05 ） ; and there was close relationships between their ages, GCS scores, skull fractures, subarachnoid bleedings, hypotension shocks, hyponatremia and infectious factors and the concurrent cerebral infarction （ P 〈 0.05 ）. Conclusion： The causes of cerebral infarction in patients after severe traumatic brain injury are complex. Timely and effectively preventions and cures could effectively improve the survival rate and the prognosis.