重度颅脑损伤术后并发脑梗塞168例临床分析

摘要

目的 探讨重度颅脑损伤术后并发脑梗塞的发病机理、临床诊断、治疗措施.方法 回顾分析我院2002年3月至2010年3月收治的168例重度颅脑损伤术后并发脑梗塞患者的临床资料.结果 于6个月后对患者进行格拉斯哥结果分级评估:Ⅰ级33例,Ⅱ级5例,Ⅲ级17例,Ⅳ级28例,Ⅴ级85例.结论 重度颅脑损伤术后并发脑梗塞的诊断主要依据CT及MRI检查,早期诊断、早期治疗是抢救成功的关键.%Objective To discuss the pathogenesis, clinical diagnosis and treatment of intercurrent cerebral infarction after operation for severe head injury. Methods Review and analysis the clinical data of 168 patients with intercurrent cerebral infarction after operation for severe head injury. Results Evaluate the patients by Glasgow outcome scale after 6 months: 33, 5, 17, 28 and 85 cases were level Ⅰ, Ⅱ, Ⅲ, Ⅳ and Ⅴ, respectively. Conclusion TThe diagnosis of intercurrent cerebral infarction after operation for severe head injury depends on CT and MRI examination. The key point of successful salvage is early diagnosis and treatment.