外伤性脑梗塞33例临床分析

摘要

Objective To analyze clinical characteristic of post-traumatic cerebral infarction (PTCI). Methods The clinical data (clinical situation and therapeutics) of 33 patients with PTCI were summarized and analyzed. Results Of the 33 patients, 18 had good recovery, 7 were with semi-disability, 6 were with severe disability, and 2 died. Conclusion PTCI is a severe complication of traumatic brain injury. It can increase the risk of mortality and morbidity although the incidence is low. The cerebrovascular injury and lower cerebral perfusion play important roles, so it is necessary pay more attention to them during treatment.%目的 分析外伤性脑梗塞的临床特点.方法 总结33例颅脑创伤后脑梗塞患者的临床表现及治疗要点.结果 33例患者良好18例,中残7例,重残6例,死亡2例.结论 外伤性脑梗塞是颅脑创伤后的严重并发症,发生率虽然不高,但会加重患者的致死、致残风险,治疗过程中应高度重视重型颅脑创伤患者脑血管损伤和脑灌注的变化.