外伤性脑梗死22例临床分析
doi:10.3969/j.issn.1007-614x.2014.20.3摘 要 目的:探讨外伤性脑梗死的临床特点及治疗方法。方法:2010年1月-2013年12月收治外伤性脑梗死患者22例,对其临床资料回顾性分析。结果:按照GOS评分,22例患者中,6例恢复良好,中残3例,重残4例,植物生存2例,死亡7例。结论:外伤性脑梗死是由于颅脑外伤、颅内压增高造成的脑组织移位、脑血流量减少、脑血管痉挛、脑血管内膜释放组织凝血酶原促进凝血等多因素所致。早期治疗原发颅脑外伤,早期维持正常血容量、应用钙离子拮抗剂等综合措施是治疗成功的关键。
关键词 颅脑外伤 脑梗死 临床分析
Clinical analysis of 22 cases of traumatic cerebral infarction
Xu Zhijie,Jiang Fanjun,Wang Dongyu
Department of Neurosurgery,the Fourth People's Hospital of Shangqiu City,Henan 476100
Abstract Objective:To explore the clinical characteristics and treatment of traumatic cerebral infarction.Methods:22 cases with traumatic cerebral infarction were selected from January 2010 to December 2013.We retrospectively analyzed clinical data.Results:According to GOS score:in 22 cases of cases ......
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