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外伤性脑梗塞的出现直接影响着颅脑外伤患者的预后,是脑外伤后少见而又非常严重的并发症,其临床表现缺乏特异性,易与脑挫裂伤、颅内血肿混淆,常预后不佳,是神经外科治疗的难点,特别是大面积脑梗塞更是增加了患者的致残率和病死率。近年来,随着CT和MRI在基层医院的广泛开展,有关脑外伤后并发脑梗塞的报道逐渐增多,且外伤性脑梗塞致残致死率又极高,已越来越受到神经外科界的高度重视。本文将重点介绍国内外在临床上对于TCI的诊断、治疗及进展。
The appearance of traumatic cerebral infarction directly affects the prognosis of patients with traumatic brain injury. It is a rare and serious complication after traumatic brain injury. Its clinical manifestations are lack of specificity. It is easy to be confused with cerebral contusion, intracranial hematoma and often prognosis Poor, is the difficulty of neurosurgical treatment, especially large areas of cerebral infarction is to increase the morbidity and mortality of patients. In recent years, with the extensive implementation of CT and MRI in primary hospitals, reports of cerebral infarction associated with traumatic brain injury have been gradually increasing, and the rate of disability caused by traumatic cerebral infarction is extremely high. It has been increasingly accepted by the neurosurgical community Pay attention. This article will focus on the clinical diagnosis of TCI at home and abroad, treatment and progress.