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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 related factors of cerebral infarction after craniotomy hematoma removal. Methods 100 patients with severe craniocerebral injury underwent craniotomy. Among them, there were 60 cases of cerebral infarction (cerebral infarction group) and 40 cases of cerebral infarction (non-cerebral infarction group). The age, duration of injury, degree of injury and diagnosis and treatment data were compared between the two groups. Results Compared with the non-cerebral infarction group, the patients in the cerebral infarction group were older, had a longer duration of injury, had a greater degree of brain injury, and had a higher incidence of cerebral hernia (P <0.05). Bederson score (1.48 ± 0.34) and number of apoptotic cells (59 ± 12) in non-cerebral infarction group were significantly lower than those in cerebral infarction group (2.79 ± 0.28) and (116 ± 19) <0.05). Conclusions Severe craniocerebral injury patients with craniocerebral hemorrhage complicated by cerebral infarction and age, brain injury and so on.