论文部分内容阅读
目的分析研究重型颅脑损伤并发脑梗死的可能原因、临床表现和治疗措施。方法选取2012年1月～12月期间在我院治疗的52例重型颅脑损伤并发脑梗死患者的临床资料。结果全部患者均行开颅手术清除颅内血肿及坏死脑组织,去骨瓣减压治疗。经手术及药物治疗后病情均有不同程度的好转或趋于稳定。按出院后3个月GOS评分:恢复良好32例,中残12例,重残4例,死亡4例。结论对于重型颅脑损伤并发脑梗死患者,应严密观察,及时复查CT,对本病力求早期发现,早期治疗,以提高抢救成功率。
Objective To analyze the possible causes, clinical manifestation and treatment of severe brain injury associated with cerebral infarction. Methods The clinical data of 52 patients with severe craniocerebral injury complicated with cerebral infarction who were treated in our hospital from January to December 2012 were selected. Results All patients underwent craniotomy to remove intracranial hematoma and necrotic brain tissue and decompressive craniectomy. After surgery and drug treatment the disease has varying degrees of improvement or tends to be stable. According to GOS score 3 months after discharge, there were 32 cases with good recovery, 12 cases with moderate disability, 4 cases with severe disability and 4 cases died. Conclusion For severe craniocerebral injury patients with cerebral infarction, should be closely observed and promptly reviewed CT, early detection of the disease, early treatment, in order to improve the success rate of rescue.