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目的探讨颅脑损伤并发脑梗死的临床治疗,以期提高疗效,减少并发症。方法回顾性分析本院近年来收治的42例外伤性脑梗死患者的诊断及治疗方法。结果按COS评定标准评定疗效,单纯非手术治疗36例,经开颅手术清除血肿或同时行去骨瓣减压术6例。结论合理的内、外科综合治疗是处理外伤后脑梗死患者的关键。脑疝与否、感染与否、低血压、脱水药的过量使用等是外伤性脑梗死的常见危险因素,活血药的使用是外伤性脑梗死的保护因素。
Objective To explore the clinical treatment of cerebral injury complicated by cerebral infarction in order to improve the curative effect and reduce the complications. Methods A retrospective analysis of 42 cases of traumatic cerebral infarction in our hospital in recent years, the diagnosis and treatment. Results According to COS assessment criteria, 36 patients were treated by non-surgical treatment, 6 patients underwent craniotomy for hematoma removal or decompressive craniectomy. Conclusion The reasonable combination of internal and surgical treatment is the key to the treatment of patients with traumatic cerebral infarction. Herniation or not, infection or not, hypotension, excessive use of dehydration drugs is a common risk factor for traumatic cerebral infarction, the use of blood drug is a protective factor of traumatic cerebral infarction.