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重型颅脑外伤后大面积脑梗死的原因及防治
引用本文:刘保国,何黎明,余英教,朱飚,李平安,李冲,郭铭,梁晓华.重型颅脑外伤后大面积脑梗死的原因及防治[J].中国实用神经疾病杂志,2011,14(11):26-28.
作者姓名:刘保国  何黎明  余英教  朱飚  李平安  李冲  郭铭  梁晓华
作者单位:广东粤北人民医院神经外科,韶关,512026
摘    要:目的探讨重型颅脑外伤后大面积脑梗死的原因及防治措施。方法对收治的36例重型颅脑外伤后大面积脑梗死病例进行回顾性分析。结果按格拉斯哥预后评分(Glasgow outcome scale,GOS)标准:恢复良好6例(16.7%),中残9例(25.0%),重残6例(16.7%),植物生存3例(8.3%),死亡12例(33.3%)。结论对重型颅脑外伤后大面积脑梗死患者及早明确诊断,进行积极有效的综合治疗是改善大面积脑梗死患者预后的关键。

关 键 词:重型颅脑外伤  大面积脑梗死  原因  防治

Causes and prevention and treatment measures to massive cerebral infarction in patients with severe head injury
Institution:Liu Baoguo,He Liming,Yu Yingjiao,et al.Department of Neurosurgery,Yuebei People’s Hospital,Shaoguan 512026,China
Abstract:Objective To explore causes and prevention and treatment measures to massive cerebral infarction in patients with severe head injury.Methods Clinical data in 36 cases with massive cerebral infarction after severe head injury were conducted and retrospectively analyzed.Results According to Glasgow outcome scale(GOS) scores,6 patients were classified as good recovery(16.7%),9 moderate neurological deficit(25.0%),6 severe neurological deficit(16.7%),and 3 vegetative state(8.3%).Death occurred in 12 cases(33.3%).Conclusion Early diagnosis and effective comprehensive treatment measures are key factors in improving the prognosis of patients with massive cerebral infarction after severe head injury.
Keywords:Severe head injury  Massive cerebral infarction  Causes  Prevention and treatment
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