重型颅脑损伤术后并发大面积脑梗塞的病因分析

目的：分析颅脑损伤术后合并大面积脑梗塞的病因，寻找有效对策。方法：回顾性分析16例重型颅脑损伤术后合并大面积脑梗塞患者的临床资料。结果：参照GOS标准，16例患者出院时4例死亡（25．0％），植物生存3例（18．8％），重残3例（18．8%），轻残4例（25．0％），良好2例（12．5％）。结论：重型颅脑损伤术后患者的脑血管痉挛、颅内压增高、术中持续低血压、血管损伤等因素是颅脑损伤术后大面积脑梗塞的高危因素，需密切观察病情，妥善处理，从而提高生存质量。

Pathogeny analysis of large area infarction after severe head injury

Objective：To investigate the causes of large area cerebral infarction after severe head injury.Method： 16 cases who had large area cerebral infarction after severe head injury were retrospectively analyzed.Result：Grade ac- cording to GOS： 4 cases （25.0%）dead, 3 cases（ 18.8% ）were plant existing, 3 cases（ 18.8% ） were severe disability, 3 cases （25.0%）were middle disability, 2 cases （ 12.5% ）were good recovery.Conclusion：Postoperative patients of se- vere brain injury with cerebral vasospasm, intracranial pressure increased, low blood pressure in intraoperative sus- tained, blood vessel damage and other are risk factors in the large area cerebral infarction after head injury,which need to closely observe the illness and properly handle so as to improve the quality of survival.