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目的探讨颅脑损伤术后脑梗死的原因、发病机理和治疗措施。方法回顾分析我院30例颅脑损伤术后病人的临床表现及影响因素。结果本组病人死亡7例,占23%,植物生存2例,重残2例,轻残4例。结论颅脑损伤术后脑梗死多由血管损伤,外伤性血管痉挛等因素所致,预防治疗关键,术中妥善处理及术后维持内环境稳定,早期应用钙离子拮抗剂及应用改善微循环药物等综合治疗能有效提高患者生存质量。
Objective To investigate the causes, pathogenesis and treatment of cerebral infarction after craniocerebral injury. Methods A retrospective analysis of 30 cases of patients with brain injury in our hospital after the clinical manifestations and influencing factors. Results The patients died in 7 cases, accounting for 23%, 2 cases of plant survival, 2 cases of severe disability and 4 cases of mild disability. CONCLUSIONS: Cerebral infarction after craniocerebral injury is mainly caused by vascular injury and traumatic vasospasm. The key to prevention and treatment is proper treatment during operation and maintenance of stable internal environment. Early use of calcium antagonists and application of microcirculation drugs Comprehensive treatment can effectively improve the quality of life of patients.