摘要
目的分析颅脑损伤开颅血肿清除术后并发脑梗死的相关因素。方法重型颅脑损伤患者100例接受开颅血肿清除术。其中,术后并发脑梗死60例(脑梗死组),未合并脑梗死40例(非脑梗死组)。比较两组年龄、受伤时间、损伤程度和诊治资料。结果与非脑梗死组比较,脑梗死组患者年龄较大、受伤时间较长、脑损伤程度较重、脑疝发生率高(P<0.05)。术后非脑梗死组的Bederson评分(1.48±0.34)分,脑凋亡细胞数(59±12)个,均低于脑梗死组的(2.79±0.28)分和(116±19)个(P<0.05)。结论重型颅脑损伤患者开颅血肿清除后并发脑梗死与年龄、脑损伤程度等有关。
Objective To analyze the factors related to cerebral infarction after hematoma removal for severe craniocerebral injury.Methods A totl of 100 patients with severe craniocerebral injury underwent craniotomy for hematoma removal,who were assigned into two groups of A（with cerebral infarction after surgery,60cases）and B（without cerebral infarction,40cases）.The age,time and severity of craniocerebral injury,and treatment were compared between two groups.Results Compared to group B,the patients in group A were elder in age and with more severe brain injury and occurrence rate of cerebral hernia（P〈0.05）.Postoperative Bederson score and the number of apoptotic brain cells were higher in group A than those in group B[（2.79±0.28）points and（116±19）pieces vs.（1.48±0.34）points and（59±12）pieces]（P〈0.05）.Conclusion The cerebral infarction after hematoma removal is associated with age and severity of craniocerebral injury.
出处
《江苏医药》
CAS
2015年第4期437-438,共2页
Jiangsu Medical Journal
关键词
颅脑损伤
脑梗死
Craniocerebral injury
Cerebral infarction
