轻型颅脑损伤后期患者猝死原因探讨

目的分析11例轻型颅脑损伤患者治疗后期猝死的原因。方法对11例患者的伤情、诊断及治疗结果进行总结。结果11例患者在猝死前均无明显先兆，猝死原因可能与蛛网膜下腔出血引起脑血管痉挛（CVS）、迟发性下丘脑功能损害、脑干软化等有关，其中1例为脑动脉瘤外伤后破裂。结论判断颅脑损伤严重程度不能仅凭GCSS，而应分析受伤机理，结合影像学的动态检查为依据。对有蛛网膜下腔出血、颅底骨折、突发高热、颅底脑池显示不清等高危因素的患者要高度重视，尽早处理。

Analysis of the reasons of sudden death in patients in the late stage of mild craniocerebral injury

Objective To analyse the the reasons of sudden death in 11 patients in the late stage of mild craniocerebral injury. Methods Give a review and evaluation of the traumatic condition ,diagnosis and therapeutic results. Results There were no obvious prosymptom before sudden death among the 11 patients , the reason of sudden death might be due to CVS caused by subarachnoid hemorrhage , or due to tardive damage of hypothalamus, or due to malacoma of brain stern, 1 case die of rapture of cerebral aneurysm after trauma. Conclusion We should not determine the severity of craniocerebral injury merely by CCSS, instead , the mechanism of injury should be analysed combined with dynamic study of imaging . Great attention should be paid to patients with the high risk factors such as subarachnoid hemorrhage ,basal fracture and unclear display of cistern in basalis , early treatment Mould be carried out as soon as possible .