颅脑外伤发生蛛网膜下腔出血、脑血管痉挛的危险因素及处理

Risk factors and treatment of cerebral vasospasm after subarachnoid hemorrhage in patients with traumatic brain injury

目的:探讨颅脑外伤发生蛛网膜下腔出血、脑血管痉挛的危险因素及处理办法。方法:收治颅脑外伤发生蛛网膜下腔出血患者60例,将出现脑血管痉挛患者列为研究组,37例,未出现血管痉挛患者列为对照组,23例,分析脑血管痉挛的危险因素,总结有效的处理办法。结果:研究组脑血管痉挛的危险因素有高血压、昏迷程度、颅脑外伤分型,临床可通过早期预防治疗和用药治疗等方式处理,效果良好。结论:当颅脑外伤患者发生蛛网膜下腔出血后,需及早预防其出现脑血管痉挛合并症。

Objective：To explore the risk factors and treatment of cerebral vasospasm after subarachnoid hemorrhage in patients with traumatic brain injury.Methods：60 patients with subarachnoid hemorrhage after traumatic brain injury were selected.The patients with cerebral vasospasm were classified as the study group of 37 patients.The patients without cerebral vasospasm were classified as the control group of 23 cases.We analyzed the risk factors of cerebral vasospasm and summed up the effective treatment methods.Results：In the study group,the risk factors of cerebral vasospasm were hypertension,coma,brain injury type, clinically.We can use early prevention treatment and drug treatment,and the effect was good.Conclusion：When the patients had subarachnoid hemorrhage after traumatic brain injury,we need take early prevention of cerebral vasospasm complications.