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目的分析颅脑外伤脑疝开颅去骨减压术后合并脑梗死治疗的临床情况。方法 31例颅脑外伤脑疝行开颅去骨减压术后合并脑梗死患者,对其临床资料进行回顾性分析。结果本组31例患者,日常生活能力评定(ADL)Ⅰ级患者17例,Ⅱ级患者6例,Ⅲ级患者4例,Ⅳ级患者4例。结论颅脑外伤术后脑梗死发生后应正确认识发病原因,给予有针对性的抢救,以降低脑梗死的致死率和致残率。
Objective To analyze the clinical situation of craniocerebral hernia after craniotomy and craniotomy decompression combined with cerebral infarction. Methods 31 cases of craniocerebral traumatic hernia underwent craniotomy and craniotomy decompression combined with cerebral infarction. The clinical data were retrospectively analyzed. Results There were 31 patients with grade Ⅰ in ADL, 6 in grade Ⅱ, 4 in grade Ⅲ and 4 in grade Ⅳ. Conclusions After the onset of cerebral infarction, the cause of the disease should be correctly recognized and targeted rescue should be given to reduce the lethality and morbidity of cerebral infarction.