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目的:观察分析引发重型脑外伤患者外伤后脑梗死的危险因素,并制定科学合理的护理措施。方法:回顾性研究我院神经外科接诊的239例重型颅脑损伤患者临床资料,分析其性别、年龄、GCS评分等诸多因素与是否发生脑梗死的相关性。结果:性别、是否手术与患者并发脑梗死无相关性(P>0.05),而患者年龄、GCS评分、有无颅骨骨折、蛛网膜下腔是否出血、是否低血压休克、是否低钠血症以及有无感染等因素都与其是否并发脑梗死密切相关(P<0.05)。结论:导致重型脑外伤后脑梗死的原因较为复杂,给予患者及时有效的防治,可有效提升其生存率和改善预后。
Objective: To observe and analyze the risk factors of traumatic cerebral infarction in patients with severe traumatic brain injury and to develop scientific and reasonable nursing measures. Methods: The clinical data of 239 patients with severe craniocerebral injury admitted to Department of Neurosurgery in our hospital were retrospectively analyzed. The correlations of gender, age, GCS score and other factors with or without cerebral infarction were analyzed. Results: There was no correlation between gender and operation and cerebral infarction in patients (P> 0.05). The patients’ age, GCS score, presence or absence of skull fracture, subarachnoid hemorrhage, hypotension-induced shock, hyponatremia, The presence of infection and other factors are closely related to whether or not complicated by cerebral infarction (P <0.05). CONCLUSION: The causes of cerebral infarction after severe traumatic brain injury are complicated. Patients are given timely and effective prevention and treatment, which can effectively improve the survival rate and improve the prognosis.