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目的分析探讨颅脑外伤并发脑梗死的发病机制及治疗方法。方法回顾性分析2009年6月至2011年6月期间64例在我院治疗的重型颅脑损伤并发脑梗死患者的临床资料,分析其诊断和治疗过程。结果术后随访3～6个月,按GOS评定预后。本组患者恢复良好29例,中残20例,重残8例,植物生存3例,死亡4例,其中2例死于脑疝,1例死于肺部感染,1例死于多器官功能衰竭。结论重型颅脑损伤并发大面积脑梗死预后较差,需引起高度重视,伤后严密观察、动态监测CT或MRI,早期预防和诊断,积极正确的治疗,有助于改善并发脑梗死患者的预后,提高生存质量。
Objective To analyze the pathogenesis and treatment of cerebral trauma with cerebral infarction. Methods The clinical data of 64 patients with severe craniocerebral injury complicated with cerebral infarction who were treated in our hospital from June 2009 to June 2011 were analyzed retrospectively. The diagnosis and treatment process were analyzed. Results Postoperative follow-up of 3 to 6 months, according to GOS prognosis. This group of patients recovered well in 29 cases, 20 cases of moderate disability, 8 cases of severe disability, plant survival in 3 cases, 4 patients died, of which 2 died of herniation, 1 died of lung infection and 1 died of multiple organ function Failure. Conclusions The prognosis of severe craniocerebral injury complicated with large area cerebral infarction is poor, which needs to be paid more attention to. Close observation after the injury, dynamic monitoring of CT or MRI, early prevention and diagnosis, positive and correct treatment will help to improve the prognosis of patients with cerebral infarction , Improve the quality of life.