论文部分内容阅读
目的探究颅脑外伤后脑梗死的临床症状分析。方法选自石门县人民医院2010年9月~2012年9月收治的颅脑外伤后出现脑梗死患者50例,另选本院同期收治颅脑外伤后没有出现脑梗死患者50例,对其临床资料进行回顾性分析,了解诱发脑梗死的相关因素以及对此类患者的治疗方案。结果颅脑损伤患者是否并发脑梗死,和以下因素有所联系:GCS评分、是否有蛛网膜下腔出血、是否出现脑疝以及有无高血压史等;对患者进行治疗后,15例出现好转,14例患者为中度残废,16例患者为重度残废,5例患者呈现出植物状态,无患者出现死亡。结论颅脑外伤后并发脑梗死患者病情进展非常快速,好转患者为30%(15/50),但患者的预后一般较差,病残率为70%(35/50),其中中度残疾为14例(28%),重度残疾为16例(32%),植物人5例(10%),因此对其进行积极的诊断治疗,以提高患者预后尤为重要。
Objective To investigate the clinical symptoms of cerebral infarction after traumatic brain injury. Methods selected from Shimeng County People’s Hospital September 2010 ~ September 2012 admitted to patients with cerebral infarction occurred in 50 patients with cerebral infarction, another hospital in the same period of treatment of traumatic brain injury did not appear in 50 patients with cerebral infarction, its clinical Data were retrospectively analyzed to understand the relevant factors induced cerebral infarction and treatment of such patients. Results Whether patients with craniocerebral injury complicated by cerebral infarction were related to the following factors: GCS score, whether there was subarachnoid hemorrhage, whether there was hernia and whether there was any history of hypertension, etc. After treatment, 15 patients showed improvement 14 were moderately disabling, 16 were severely disabled, 5 were vegetative and none died. CONCLUSIONS: Patients with cerebral infarction complicated by cerebral trauma have experienced a very rapid progression with 30% (15/50) improvement in patients. However, their prognosis is generally poor, with a morbidity of 70% (35/50), with moderate disability 14 cases (28%), 16 cases of severe disability (32%) and 5 cases of vegetative tissue (10%). Therefore, it is particularly important to carry out positive diagnosis and treatment to improve the prognosis of patients.