摘要
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 severe brain injury craniotomy rele- vant factors secondary to massive cerebral infarction treatment and intervention values. Methods This study selected 100 cases of severe traumatic brain injury patients in our hospital from Febru- ary 2012 to February 2014 admitted for the study,underwent craniotomy treatment,according to postoperative / not conducted with cerebral infarction group,are set to cerebral infarction group and cerebral infarction group did not understand the relevance after age,injury time,the extent of brain damage, brain herniation with severe brain injury craniotomy treatment of secondary be- tween massive cerebral infarction relationship. Results Age, injury time, the extent of brain dam- age,brain herniation are severe brain injury after craniotomy treatment of secondary large inde- pendent risk factor for cerebral infarction, cerebral infarction in a large area,development plays an important role. Conclusion The risk factors for cerebral infarction grasp, close observation of changes in condition,timely review of head CT / MRI,can be early diagnosis of cerebral infarction and take appropriate measures to reduce mortality.
出处
《立体定向和功能性神经外科杂志》
2016年第2期112-114,共3页
Chinese Journal of Stereotactic and Functional Neurosurgery
