外伤性脑梗死 (pdf)

    【摘要】 目的 探讨外伤性脑梗死发病机制、病理、危险因素、预后、临床特点及诊治。 方法 综合国内外文献加以阐述。 结果 外伤性脑梗死并非少见，颅内压增高、脑缺血、伤后止血剂应用是发生脑梗死原因。 结论 及时降低颅内压、维持收缩压正常、避免抗纤溶药物应用是减少外伤性脑梗死的有效措施。

    【关键词】 外伤；脑梗死；凝血异常

    Traumatic cerebral infarction

    LIU Han,ZHANG Zheng,HE Xiao-wei,et al.

    The Affiliated Nanjing No.1 Hospital,Nanjing Medical University,Jiangsu 210006,China

    【Abstract】 Objective To investigate etiology,phthology,risk factor,prognosis,clinic features,diagnosis and treatment in traumatic cerebral infarction(TCI). Methods A lot of relative medical periodicals were review in the article. Results Traumatic cerebral infarction are not rare.Intracerebral pressure increase(ICP),cerebral ischemia and antifibrinogenolysis were found the reasons of TCI. Conclusion Properly decreasing ICP,maintaining systolic blood pressure,avoiding antifibrinogenolysis drug application were effective measures in TCI.

    【Key words】 trauma；cerebral infarction；coagulation abnormal

    外伤性脑梗死(post-traumatic infarction，PTI)是病人在外伤后出现的脑缺血和脑梗死表现，由于患者机体凝血机能异常等因素，可能导致外伤后继发性脑梗死，因而进一步加重脑损伤程度 ......