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目的探讨外伤性脑梗死的发病机制及治疗措施。方法对50例外伤性脑梗死的临床资料进行回顾性分析。结果本组出院时20例(40%)基本恢复正常,22例(44%)遗留有不同程度神经损害,死亡8例(16%)。结论脑挫裂伤、硬膜下血肿、脑疝、颅内压增高、年龄等是颅脑损伤继发外伤性脑梗死的危险因素,应及时解除颅内高压,减少脑挫裂伤、硬膜下血肿的刺激,清除自由基,同时注意到年龄的因素。
Objective To investigate the pathogenesis and treatment of traumatic cerebral infarction. Methods The clinical data of 50 cases of traumatic cerebral infarction were retrospectively analyzed. Results In this group, 20 cases (40%) returned to normal at the time of discharge, and 22 cases (44%) left some degree of nerve damage and died of 8 cases (16%). Conclusion Brain contusion, subdural hematoma, hernia, increased intracranial pressure and age are the risk factors of traumatic cerebral infarction secondary to craniocerebral injury. The patients should be relieved of intracranial hypertension promptly, reduce cerebral contusion, Under the stimulation of the hematoma, remove free radicals, taking into account the age factor.