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目的分析并了解重型颅脑损伤行开颅术治疗后继发大面积脑梗死的相关因素以及干预价值。方法本研究中选取我院2012年2月至2014年2月收治的100例重型颅脑损伤患者为研究对象,均接受开颅血肿清除术治疗,根据术后并发/未合并脑梗死进行分组,分别设置为并发脑梗死组与未并发脑梗死组,了解年龄、受伤时间、脑组织损伤程度、脑疝与重型颅脑损伤行开颅术治疗后继发大面积脑梗死之间的相关性关系。结果年龄、受伤时间、脑组织损伤程度、脑疝均为重型颅脑损伤行开颅术治疗后继发大面积脑梗死的独立危险因素,在大面积脑梗死的形成、发展中起重要作用。结论掌握脑梗死高危因素,严密观察病情变化,及时复查头颅CT/MRI,可及早诊断脑梗死并采取针对性的措施,以降低死亡率。
Objective To analyze and understand the related factors and the intervention value of secondary craniocerebral infarction after craniocerebral trauma in patients with severe craniocerebral injury. Methods In this study, 100 patients with severe craniocerebral injury admitted in our hospital from February 2012 to February 2014 were enrolled in this study. All patients underwent craniotomy for hematoma resection. Patients were divided into two groups: The patients were divided into cerebral infarction group and non-complicated cerebral infarction group respectively to understand the relationship between age, duration of injury, degree of brain injury, cerebral hernia and severe craniocerebral injury after craniotomy. Results Age, duration of injury, degree of brain injury and hernia were all independent risk factors for secondary craniocerebral infarction after craniocerebral trauma craniocerebral injury, which played an important role in the formation and development of large area cerebral infarction. Conclusion To master the high risk factors of cerebral infarction, closely observe the changes of the disease, and timely review CT / MRI, early diagnosis of cerebral infarction and take targeted measures to reduce mortality.