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目的:研究由于重型、特重型颅脑损伤造成外伤性脑梗塞相关危险因素。方法:选取本院自2011年1月-2013年6月之间在本院进行重型、特重型颅脑的外伤患者100例,对其进行分为2组,50例/组。其中出现50例患者具有外伤性的脑梗塞,此为观察,另外的50例患者无外伤性的脑梗塞为对照组,分别对其进行Logistic分析,其主要的分析项目为年龄、合并糖尿病、GCS评价、脑疝、感染、脱水药过量、低血压休克以及活血药等。结果:通过对100例患者进行年龄、合并糖尿病、GCS评价、脑疝、感染、脱水药过量、低血压休克以及活血药等项目的分析,存在着显著性的差异,其P<0.05。结论:造成重型、特重型颅脑损伤外伤性脑梗塞的主要相关性的因素主要是治疗药物的过量,而且在使用活血药的时候能够为临床的诊治提供很好的。
Objective: To study the risk factors of traumatic cerebral infarction caused by severe and extra-severe traumatic brain injury. Methods: A total of 100 patients with severe and severe traumatic brain injury in our hospital from January 2011 to June 2013 were selected and divided into 2 groups (50 cases / group). Among them, 50 patients had traumatic cerebral infarction, which was observed. The other 50 patients without traumatic cerebral infarction were regarded as control group, and Logistic analysis was performed respectively. The main analysis items were age, diabetes mellitus, GCS Evaluation, hernia, infection, dehydration overdose, hypotensive shock and blood drug. Results: There were significant differences in the analysis of 100 patients with age, diabetes mellitus, GCS evaluation, hernia, infection, overdosage, hypotensive shock and blood-activating drugs, P <0.05. CONCLUSION: The main factors contributing to traumatic cerebral infarction in severe and extra-severe traumatic brain injuries are mainly the overdose of therapeutic drugs, which can provide good clinical diagnosis and treatment when using blood-activating drugs.