摘要
【目的】分析外伤性脑梗死发病机理，寻找早期诊断和治疗的有效方法，探讨改善预后的有效措施。【方法】回顾性分析2008年3月至2010年10月本科诊治的25例外伤性脑梗死病例的Il盏床资料，25例中手术治疗16例，其中单纯外减压术ll例（包括扩大骨窗减压术2例），同时行内外减压术5例。非手术治疗9例，对其影像学资料，诊治过程和效果进行分析，并根据GOS评分判定疗效。【结果】本组25例中恢复良好12例，中残6例，重残4例，死亡3例，无植物状态生存（PVS）。【结论】外伤性脑梗死发生机制复杂，有针对性的动态影像学检查能帮助早期确诊；而合理的早期治疗可提高患者的抢救成功率和生存质量。
[Objective] To analyze the pathogenesis of traumatic cerebral infarction, and find the effective method of early diagnosis and treatment, and explore the effective treatment to improve the prognosis. [Methods] Clinical data of 25 patients with traumatic cerebral infarction in our department from March 2008 to Oct. 2010 were analyzed retrospectively. Of 25 patients, 16 patients underwent the surgery including simple external decompression in 11 patients（enlarged bone window decompression in 2 patients）, internal and external decompression in 5 patients, and 9 patients received non-sur- gical treatment. The imageology data, treatment process and efficacy were analyzed. According to GOS score, the efficacy was assessed. [Results] Among 25 patients, 12 patients had good recovery, and 6 patients were middle disability, and 4 patients were severe disability, and no patients was vegetative state survival （PVS） and 3 patients were dead. [Conclu- sion] The mechanism of traumatic cerebral infarction is complicated. Dynamic imaging examination can help to diagnose early. Early advisable treatment can improve the successful rate of management and survival quality of patients.
出处
《医学临床研究》
CAS
2012年第2期265-267,共3页
Journal of Clinical Research
