[摘要] 目的 探讨重型颅脑损伤并发脑梗塞的影响因素。方法 对我院56例并发脑梗塞的病例进行回顾性分析。结果 本组恢复良好24例、中残13 例、重残10例、死亡9例。结论 重型颅脑损伤并发脑梗塞一般出现在伤后72h -10天。重型颅脑损伤患者出现脑梗塞手术治疗多余非手术治疗，与手术、器械的刺激损伤相关，出血过多、血液的粘稠度增高、脑循环的改变，代谢产物的毒性作用有关。

    [关键词] 重型颅脑损伤； 脑梗塞； 原因

    [中图分类号] R743.33 [文献标识码] A [文章编号] 1005-0515(2011)-12-017-01

    Severe Head Injury Complicated Cerebral Infarction Reasons Analysis

    Chen Ben Zhang Junwei Yang Dingjun

    (The Trauma Surgery of the People's Hospital in Dujiangyan,Sichuan,611830)

    [Abstract] Objective To discuss the influence factors of the severe head injury complicated with cerebral infarction. Methods In our hospital 56 cases complicated with cerebral infarction were studied retrospectively. Results The good recovery were 24 cases, moderate disability were 13,heavy were 10 cases,9 cases were dead. Conclusion Severe head injury complicated with cerebral infarction generally appear after injury in 72 h-10 days. Severe head injury patients experienced cerebral infarction surgery is related with non-operative therapy, and surgery, the stimulation of equipment damage, excessive bleeding; the clotting of blood and cerebral circulation increased the change, are related with the toxicity of the metabolic products. ......