外伤性脑梗塞27例临床分析

目的探讨外伤性脑梗塞的发病机制、诊断及治疗方法,以期提高疗效,减少并发症.方法回顾性分析近5a来收治外伤性脑梗塞的临床资料.其中合并震荡伤2例、脑干损伤2例、脑挫裂伤6例、颅内血肿14例、脑疝3例;开颅手术19例,内科治疗8例.结果随访25例,随访时间3个月～5a,随访率92.6%.按GOS评定标准评定疗效：恢复良好14例,中残8例,重残2例,死亡1例.结论外伤性脑梗塞发生机制较复杂,预后差,临床上应充分运用影像学检查,早期诊断及治疗可提高患者生存质量,减少并发症.

Clinical Analysis of 27 Patients with Traumatic Cerebral Infarction

Objective To investigate the pathogenesis,diagnosis and treatment of traumatic cerebral infarction so as to improve treatment effects and reduce complications.Methods A retrospective analysis was conducted on the clinical documents of the patients admitted to our hospital with traumatic cerebral infarction for the past five years.There were 2 cases of combined cerebral concussion,2 cases of brain stem injury,6 cases of contusion and laceration of brain,14 cases of intracranial hematoma,and 3 cases of cerebral hernia.19 cases of them were performed with craniotomy and 8 were with medical treatment.Results 25 cases were followed for 3 months up to 5 years.The follow-up rate was 92.6%.According to GOS evaluation criteria,14 of them recovered well,8 ended up with medium level of disability and 2 with high level of disability,and 1 died.Conclusions The pathogenesis of traumatic cerebral infarction is complicated and the prognosis is bad.Utilization of medical imaging,early diagnosis and treatment can increase the chance of survival and reduce the complications.