摘要
目的:探讨外伤性脑梗死的临床特点,从而使外伤性脑梗死患者能够得到及时诊断和治疗。方法:对我院1992年6月至2000年12月收治的23例外伤性脑梗死患者进行回顾性分析,23例均通过CT确诊。其中6例使用复方丹参、血栓通、低分子右旋糖酐治疗;有17例使用尼莫通静脉滴注。结果:采用Jennett和Bond提出的标准,治愈15例,好转2例,中残1例,重残2例,死亡3例,转上级医院治疗1例。结论:外伤性脑梗死的诊断主要依靠CT或MR,当某些神经病理症状或体征不能用原脑损伤或脑出血来解释,又排除了颅内再出血时,应想到脑梗死的存在。及早使用钙离子拮抗剂等扩血管、解症治疗、疏通微循环、常规护脑治疗以及镇静等,对改善预后有一定的帮助。
Objective: To study the clinical features of traumatic brain infarct so as to give the patients who sufferedtraumatic brain infarct timely diagnosis and treatment. Methods: Make a feedback analysis on twenty-three patients sufferedtraumatic brain infarct and received treatment in our hospital between June, 1992 and December, 2000. The patients all tookCT exams, six of whom received the treatment of ginseng, thrombocyst and hypo-molecular carbonhydrase, and seventeen tookNimotop intraverous drips. Results: Using the standard by Jennett and Bond, fifteen patients are well cured with two better,one moderately maimed, two severely maimed, three dead and one resent to a higher hospital. Conclusions: Diagnosis oftraumatic brain infarct mainly depends on CT or MR. As some neurotic symptoms or features can't be said to be brain injury,cerebral hemorrhage or bleeding in the skull, brain infarct should be taken into consideration. To dialate blood vesseles withcalcium salt antagonist, treat with antispasmodic, unilog mircrocirculation, treat with regular protection for brain function andkeep calm in time are helpful to the prognosis.
出处
《岭南急诊医学杂志》
2001年第4期251-253,共3页
Lingnan Journal of Emergency Medicine
