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目的探讨创伤性大面积脑梗死的发病机制、临床特点及治疗方法。方法总结本院56例创伤性大面积脑梗死患者的临床资料,分析治疗经过。结果56例脑外伤后脑梗死患者中,所有病例均采用综合治疗,按GOS评分标准判断预后,良好28例,中残16例,重残4例,死亡8例。治疗效果与原发病情密切相关。结论在外伤后由于脑供血动脉损伤,加上脑水肿,血栓形成,引起脑梗死发病机制复杂,采取适当的综合治疗方法治疗效果好。
Objective To investigate the pathogenesis, clinical features and treatment of traumatic massive cerebral infarction. Methods The clinical data of 56 patients with traumatic massive cerebral infarction in our hospital were summarized and analyzed. Results 56 cases of cerebral infarction patients after cerebral trauma, all cases were treated with comprehensive treatment, according to the GOS score to determine prognosis, good in 28 cases, 16 cases of disability, severe disability in 4 cases, 8 cases of death. The treatment effect is closely related with the primary disease. Conclusion After traumatic injury due to cerebral artery injury, coupled with cerebral edema, thrombosis, causing complicated pathogenesis of cerebral infarction, the appropriate comprehensive treatment of appropriate treatment effect.