摘要
目的探讨外伤性脑梗塞的发病机制、诊断及治疗方法,以期提高疗效,减少并发症.方法回顾性分析近5a来收治外伤性脑梗塞的临床资料.其中合并震荡伤2例、脑干损伤2例、脑挫裂伤6例、颅内血肿14例、脑疝3例;开颅手术19例,内科治疗8例.结果随访25例,随访时间3个月～5a,随访率92.6%.按GOS评定标准评定疗效:恢复良好14例,中残8例,重残2例,死亡1例.结论外伤性脑梗塞发生机制较复杂,预后差,临床上应充分运用影像学检查,早期诊断及治疗可提高患者生存质量,减少并发症.
Objective To investigate the pathogenesis,diagnosis and treatment of traumatic cerebral infarction so as to improve treatment effects and reduce complications.Methods A retrospective analysis was conducted on the clinical documents of the patients admitted to our hospital with traumatic cerebral infarction for the past five years.There were 2 cases of combined cerebral concussion,2 cases of brain stem injury,6 cases of contusion and laceration of brain,14 cases of intracranial hematoma,and 3 cases of cerebral hernia.19 cases of them were performed with craniotomy and 8 were with medical treatment.Results 25 cases were followed for 3 months up to 5 years.The follow-up rate was 92.6%.According to GOS evaluation criteria,14 of them recovered well,8 ended up with medium level of disability and 2 with high level of disability,and 1 died.Conclusions The pathogenesis of traumatic cerebral infarction is complicated and the prognosis is bad.Utilization of medical imaging,early diagnosis and treatment can increase the chance of survival and reduce the complications.
出处
《昆明医学院学报》
2010年第2期110-112,115,共4页
Journal of Kunming Medical College
关键词
颅脑损伤
外伤性脑梗塞
诊治
Craniocerebral injury
Traumatic cerebral infarction
Diagnosis and treatment.
作者简介
杨生（1970～），男，云南会泽县人，医学本科，主治医师，主要从事神经外科教学及临床工作．
