重症颅脑损伤继发脑梗死的危险因素分析

目的 探讨分析重型颅脑损伤继发脑梗死的相关危险因素.方法 对2010年1月～2013年1月本院收治的240例重型颅脑损伤继发脑梗死患者的危险因素进行分析.结果 在重型颅脑损伤患者中,共35例（14.58％）继发脑梗死症状,经危险因素分析后,低格拉斯哥评分（GCS）以及脑挫裂伤、低血压或休克、硬膜下血肿、糖尿病、蛛网膜下腔出血、脑疝等临床表现,是重型颅脑损伤患者继发脑梗死症状的危险因素,不同的临床表现继发性脑梗死的发生率比较,差异有统计学意义（P＜0.05）.结论 重型颅脑损伤患者继发脑梗死症状时,应及时进行诊断与相关治疗,以保证患者的生存质量.

Analysis of risk factors for secondary cerebral infarction caused by severe traumatic brain injury

Objective To study the relative risk factors for secondary cerebral infarction caused by severe traumatic brain injury.Methods 240 eases of patients with severe traumatic brain injury admitted to our hospital from January 2010 to January 2013 were selected for the analysis of relative risk factors for secondary cerebral infarction.Results There were 35 patients （14.85%） who had the symptom of secondary cerebral infarction among these patients.Low score of GCS,eerebral contusion,hypotension or shock,subdural bematoma,diabetes mellitus,subarachnoid hemorrhage, cerebral hernia were the relative risk factors for secondary cerebral infarction caused by severe traumatic brain injury. The incidence of secondary cerebral infarction with relative risk factors was significantly different from it without relative risk factors among these secondary cerebral infarction patients （P〈0.05）.Condusion Patients with severe traumatic brain injury should be diagnosed and treated timely when secondary cerebral infarction is happened,in order to sustaining the survivor quality of patients.