颅脑外伤手术后并发脑梗死的治疗观察

摘要

Objective:To investigate the treatment method and effect of cerebral infarction after craniocerebral trauma operation. Methods:62 patients with cerebral infarction after craniocerebral trauma operation were selected.They were treated with the surgery combined with conservative treatment.Results:After the implementation of comprehensive treatment,3 patients died,6 patients with persistent vegetative state,8 cases with severe disability,13 cases with moderate disability,32 cases recovered well. The volume of edema and intracranial pressure were lower than before the treatment.The GCS score was higher than before the treatment(P<0.05).Conclusion:The comprehensive and symptomatic treatment for cerebral infarction based on patients,is effective treatment,and it can improve the quality of life of the patients.%目的：探讨颅脑外伤手术后并发脑梗死的治疗方法及效果。方法：收治颅脑外伤术后并发脑梗死患者62例，联合采用手术与保守方式治疗。结果：实施综合治疗后，本组患者死亡3例，持续性植物状态6例，重度残疾8例，中度残疾13例，恢复良好32例，患者的水肿体积、颅内压均低于治疗前，GCS 评分高于治疗前(P＜0.05)。结论：以患者的实际病情为依据，给予颅脑外伤手术综合对症治疗，在有效治疗、控制脑梗死的同时，可全面提升患者的生存质量。