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目的:分析总结脑外伤术后并发脑梗死的临床表现特点、发生机制及其预防措施。方法:回顾性分析总结我院救治的颅脑外伤病人51例的临床资料,对其中并发外伤性脑梗死的情况进行分析,统计治愈率、致残率及病死率。结果:按照预后格拉斯分级标准(Glasgow Coma Scale,GCS),所有患者随访半年发现,有17例(33.3%)治愈、14例(27.5%)中残、5例(9.8%)重残、6例(11.8%)植物生存、9例(17.6%)死亡,死亡患者中均是成年人,以老年患者(>60岁)居多。结论:颅脑外伤患者术后并发脑梗死的可能性较大,一旦发病,病死率高,早期预防诊断及综合治疗可以有效提高患者的生存率,降低致残严重程度及致死率。
Objective: To analyze and summarize the clinical features, pathogenesis and preventive measures of cerebral infarction complicated by traumatic brain injury. Methods: The clinical data of 51 patients with traumatic brain injury treated in our hospital were retrospectively analyzed. The incidence of traumatic cerebral infarction was analyzed. The cure rate, disability rate and mortality were calculated. Results: According to the Glasgow Coma Scale (GCS), 17 patients (33.3%) were cured, 14 (27.5%) were disabled, and 5 (9.8% Eleven (11.8%) of the plants survived and nine (17.6%) died, both of whom were adults and the majority of elderly (> 60 years). Conclusion: Patients with craniocerebral trauma are more likely to have cerebral infarction after operation. Once the disease occurs, the mortality rate is high. Early prevention and comprehensive treatment can effectively improve the survival rate of patients and reduce the severity and mortality of disability.