1 临床资料 1.1 一般资料本组男性16例,女性8例,年龄3岁～65岁,平均34岁,脑挫裂伤、脑内血肿6例,大面积脑梗塞4例,其GCS计分都在8分以下,符合重型颅脑损伤标准。 1.2 治疗及结果本组病例中腔隙性脑梗塞发生在基底节区占多数,这是因为:基底节区—内束区供血来自豆纹动脉、穿支动脉及前脉络膜动脉,这些血管远离大动脉主干,走行长而迂曲,在脑外伤致血流动力学改变的情况下,易受缺血影响,基底节区脑梗塞发生可能与脑深支缺少侧支循环及基 1 Clinical data 1.1 General Information The group of 16 males and 8 females, aged 3 to 65 years, mean 34 years old, cerebral contusion, intracerebral hematoma in 6 cases, large cerebral infarction in 4 cases, the GCS scores are In 8 points, in line with the standard of severe head injury. 1.2 treatment and results in this group of cases of lacunar infarction occurred in the majority of basal ganglia, it is because: basal ganglia - within the beam area from the lenticulostriate artery, perforator artery and anterior choroidal artery, these vessels away from the aorta Trunk, go long and tortuous, in the case of hemodynamic changes caused by traumatic brain injury, susceptible to ischemia, basal ganglia infarction may occur with the lack of deep branch of the brain collateral circulation and basal