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目的 结合文献分析探讨外伤后脑梗塞的发病机理和治疗效果。方法 总结 17例经 CT证实的外伤后脑梗塞的临床、影像学表现、治疗结果和预后。结果 治疗效果较好 ,随访 6个月治愈率达 82 .35 %。结论 外伤后脑梗塞的发病机理是由于在外伤产生脑组织相对运动及头颅过伸时 ,出现血管牵拉、变形、移位 ,造成血管内膜损伤与痉挛 ,形成血栓、梗塞。
Objective To analyze the pathogenesis and therapeutic effect of traumatic cerebral infarction with literature analysis. Methods The clinical, radiological findings, treatment outcomes and prognosis of 17 cases of traumatic cerebral infarction confirmed by CT were summarized. Results The treatment effect is good, the follow-up of 6 months, the cure rate was 82.35%. Conclusion The pathogenesis of traumatic cerebral infarction is due to the traumatic injury caused by the relative movement of brain tissue and skull hyperextension, vascular traction, deformation, displacement, resulting in intimal injury and spasm, the formation of thrombosis, infarction.