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目的:探讨老年慢性硬膜下血肿术后脑梗死的发病特点及防治措施。方法:总结分析21例老年慢性硬膜下血肿术后出现脑梗死患者。结果:多数患者具有高血压、高血脂、冠心病及糖尿病等多个脑梗死高危因素。术后脑梗死发生于术后1周内者18例,其中3天以内者16例;脑梗死发生于手术区域附近者14例,非手术区域附近者7例,其中5例的脑梗死发生于上述两个区域。结论:脑梗死发病的高危因素是颅脑术后脑梗死发生的主要原因。
Objective: To investigate the incidence of cerebral infarction in elderly patients with chronic subdural hematoma and its prevention and treatment. Methods: To summarize and analyze 21 cases of cerebral infarction in elderly patients with chronic subdural hematoma. Results: Most patients had high risk factors of multiple cerebral infarction such as hypertension, hyperlipemia, coronary heart disease and diabetes mellitus. Postoperative cerebral infarction occurred within 1 week after surgery in 18 cases, of which 16 cases within 3 days; cerebral infarction occurred in 14 cases near the surgical area, 7 cases near the non-surgical area, of which 5 cases of cerebral infarction occurred in The above two areas. Conclusion: The risk factors of cerebral infarction are the main causes of cerebral infarction after craniocerebral surgery.