颅脑外伤后并发脑梗死的危险因素分析

Analysis of risk factors for cerebral infarction after craniocerebral trauma

目的:探讨颅脑外伤后并发外伤性脑梗死的相关危险因素,为其临床预防及治疗提供依据。方法:收治颅脑外伤患者510例,回顾性分析其临床资料。结果:510例患者中,出现脑梗死39例,发生率7.65%(39/510)。多因素Logistic回归分析结果提示:年龄、D-二聚体等是外伤性脑梗死的危险因素。结论:外伤后脑梗死严重影响颅脑外伤患者的预后,而且其发生也是多因素共同参加的病理生理过程,根据多种危险因素采用积极预防与早期临床干预措施可能会降低PTCI的发生率。

Objective:To explore the relative risk factors of traumatic cerebral infarction after craniocerebral trauma,to provide evidence for clinical prevention and treatment.Methods:510 patients with craniocerebral trauma were selected,and clinical data were retrospectively analyzed.Results:Of the 510 patients,39 cases had cerebral infarction,the incidence was 7.65%(39/510).Multivariate logistic regression analysis showed that age and D-dimer were risk factors for traumatic cerebral infarction.Conclusion:Post traumatic cerebral infarction seriously affected the prognosis of patients with craniocerebral trauma,and its occurrence was also a pathophysiological process involving multiple factors,according to the risk factors,active prevention and early clinical intervention may reduce the incidence of PTCI.