重型颅脑损伤术后并发大面积脑梗死临床分析

目的探讨重型颅脑损伤开颅术后并发大面积脑梗死的发病机制及预防治疗。方法回顾性分析22例重型颅脑损伤术后并发大面积脑梗死患者的临床资料。结果 22例患者出院前应用GOS评估预后,其中重残4例,植物状态3例,死亡15例。结论重型颅脑损伤术后并发大面积脑梗死,预后差,致残致死率高。应及早发现、及早治疗,改善预后。

Clinical analysis on postoperative large area cerebral infarction of severe craniocerebral injury

Objective To investigate the mechanism and the prevention treatment of postoperative large area cerebral infarction of severe craniocerebral injury.Methods Retrospective analysed the clinical data of 22 cases with postoperative large area cerebral infarction of severe craniocerebral injury.Results The prognosis of the 22 patients were estimated by GOS before they discharge from hospital,4 cases were severe-deficit,3 cases were vegetative state,15 cases were dead.Conclusion The postoperative large area cerebral infarction of severe craniocerebral injury could lead to poor outcome and high mortality with complex underlying mechanisms,and should be early detected and treated to improve the outcome of the patients.