外伤性脑梗死的医源性因素分析

目的探讨外伤性脑梗死的医源性N素及其防治.方法 对收治的14例与医源性因素相关的外伤性脑梗死患者的临床资料进行回顾性分析。结果严重的脑缺血缺氯损字、过眨睨水及手术操作不当等是外伤性脑梗死的医源性因素。按格拉斯哥预后评分标准：恢复良好5倒（35．7％），中残3例（21．4％），重残2例（14．3％），植物生存1例（7．2％），死亡3例（21．4％）。结论对颅脑外伤患者不适当的治疗措施可以导致或加重外伤性脑梗死，对其进行积极有效的防治可改善颅脑外伤患者的预后.

Analysis of iatrogenic factors in traumatic cerebral infarction

Objective To investigate the iatrogenic factors in the occurrence and development of traumatic cerebral infarction so as to find effective prevention and treatment measures. Methods The clinical datas of 14 cases of traumatic cerebral infarctions related to iatrogenic factors were retrospectively analyzed. Results Iatrogenic factors such as severe cerebral ischemia/anoxia, overdehydration and inappropriate operative manipulation were related to traumatic cerebral infarctions. According to Glasgow Outcome Scale （GOS） scores, 5 patients were classified as having good recovery （35.7%）, 3 cases moderate neurological deficit（21.4% ） , 2 cases severe neurological deficit（ 14.3% ）, and 1 case in vegetative state（7.2% ）, death occurred in 3 cases cases（21.4% ）. Conclusions Inappropriate treatment measures can cause or accelerate traumatic cerebral infarctions. Effective prevention and treatment measures can improve prognosis of the patients with craniocerebral injury.