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[目的]探讨重型颅脑外伤发生大面积脑梗塞的原因、临床特点、治疗方法。[方法]对22例重型颅脑外伤合并大面积脑梗塞患者的临床资料进行归纳分析,所有患者均采用手术治疗及综合治疗措施。[结果]按Gos标准评价,恢复良好4例,中残5例,重残3例,植物生存4例,死亡6例。[结论]外伤性脑梗塞与严重脑组织挫伤、局部血管机械性受压、严重颅高压血液流变学改变、血管内膜机械性损伤等等因素密切相关。重型颅脑外伤合并大面积脑梗塞病情危重,预后较差,尽早采取积极有效的治疗措施有利于改善患者预后。
[Objective] To investigate the causes, clinical characteristics and treatment of large-scale cerebral infarction in severe craniocerebral trauma. [Methods] The clinical data of 22 patients with severe craniocerebral trauma combined with large area cerebral infarction were analyzed. All the patients were treated by operation and comprehensive treatment. [Results] According to the Gos criteria, 4 cases were recovered well, 5 cases were moderate disability, 3 were severe disability, 4 were plant survival and 6 were death. [Conclusion] Traumatic cerebral infarction is closely related to such factors as severe contusion of brain tissue, mechanical compression of local vessels, hemorheological changes of severe intracranial hypertension and mechanical injury of blood vessel. Severe craniocerebral injury combined with large-scale cerebral infarction critically ill, the prognosis is poor, as soon as possible to take active and effective treatment is conducive to improving the prognosis of patients.