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目的 :探讨外伤性脑梗死的病因病理及诊断治疗。方法 :总结其临床特点及治疗方法 ,分析其预后。结果 :6 2例出院时GOS评分评价 :良好 39例 ,中残 13例 ,重残 4例 ,植物状态 3例 ,死亡 3例。结论 :本病是由于颅脑损伤后颅内压增高引起的脑血流量减少、脑组织移位 ,致使脑血管移位、牵拉、扭曲 ;蛛网膜下腔出血所致的脑血管痉挛 ;脑血管内膜损伤释放组织凝血酶原促进凝血系统 ;以及受基底节区血管解剖特点、儿童生理特性等多种因素影响所致。其治疗为迅速降颅压 ,清除颅内血肿 ,合理应用激素、钙离子拮抗剂、促进脑细胞代谢药 ,扩容、抗凝、溶栓及高压氧等治疗 ,预后较好。
Objective: To explore the etiology and pathology of traumatic cerebral infarction and its diagnosis and treatment. Methods: To summarize its clinical features and treatment methods, analyze its prognosis. Results: Sixty-two patients were evaluated GOS score at discharge: 39 in good, 13 in moderate disability, 4 in severe disability, 3 in vegetative state and 3 in death. Conclusion: The disease is due to increased intracranial pressure after traumatic brain injury caused by decreased cerebral blood flow, brain tissue displacement, resulting in cerebral vascular displacement, traction, distortion; subarachnoid hemorrhage caused by cerebral vasospasm; brain Intimal injury releases tissue prothrombin to promote the coagulation system; and is affected by many factors such as anatomical features of blood vessels in the basal ganglia and children’s physiological characteristics. The treatment for the rapid reduction of intracranial pressure, intracranial hematoma removal, rational use of hormones, calcium antagonists, and promote brain cell metabolism drug, expansion, anticoagulation, thrombolysis and hyperbaric oxygen therapy, the prognosis is good.