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目的研究创伤后脑梗塞的影像学特点以及临床特点,评估去骨瓣减压术治疗创伤后脑梗塞的效果。方法回顾性分析2010年1月到2013年8月40例创伤后脑梗塞病例,分析患者的临床及影像学资料。结果创伤后脑梗塞患者总体死亡率为80%,入院时GCS评分是判断预后的最有价值指标,结果显示GCS评分小于5分和高死亡率有相关性(P<0.05)。结论对于没有发展成为恶性创伤后脑梗塞的患者以及GCS高于5分患者,应该考虑早期去骨瓣减压以避免不可逆的脑梗塞发生。
Objective To study the imaging characteristics and clinical features of post-traumatic cerebral infarction and evaluate the effect of decompressive craniectomy on post-traumatic cerebral infarction. Methods A retrospective analysis of 40 cases of traumatic cerebral infarction from January 2010 to August 2013 was performed. The clinical and imaging data of the patients were analyzed. Results The overall mortality rate of patients with traumatic cerebral infarction was 80%. The GCS score at admission was the most valuable index to judge the prognosis. The results showed that the GCS score of less than 5 points was associated with high mortality (P <0.05). Conclusions For patients who have not developed a malignant traumatic cerebral infarction and who have a GCS of 5 or more, early decompressive craniectomy should be considered to avoid irreversible cerebral infarction.