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目的:探讨重度颅脑损伤手术后大面积脑梗死的发生机制及预防和治疗措施。方法:回顾性分析20例重度颅脑损伤术后大面积脑梗死患者的临床资料。结果:恢复良好4例,中残3例,重残3例,植物生存2例,死亡8例。结论:血流动力学改变、凝血机制障碍、血管损伤、蛛网膜下腔出血是重度颅脑损伤术后大面积脑梗死发生的主要原因,早期预防、及时发现、尽早治疗可获较好疗效。
Objective: To investigate the mechanism and prevention and treatment of large area cerebral infarction after severe craniocerebral injury. Methods: The clinical data of 20 patients with severe cerebral infarction after severe cerebral infarction were retrospectively analyzed. Results: 4 cases recovered well, 3 cases were moderate disability, 3 cases were severe disability, 2 cases were plant survival and 8 cases died. Conclusion: Hemodynamic changes, coagulation disorders, vascular injury and subarachnoid hemorrhage are the main causes of large area cerebral infarction after severe craniocerebral injury. Early prevention, timely detection and early treatment may be effective.