CAJ | 학술논문

目的探讨重型颅脑伤后脑梗死的防治策略.方法将232例重型颅脑伤患者随机分成两组进行前瞻性研究,两组术中及术后分别采用不同的治疗方案,对比两组外伤性脑梗死的发生率及预后.结果在治疗过程中,两组均有外伤性脑梗死发生.同一时间段,两组外伤性脑梗死的发生率相比较,治疗组明显低于对照组(P＜0.05).按GOS治疗结果评定,治疗组预后优于对照组,治疗组死亡率低.结论对于手术的重型颅脑伤患者,术中采用控制减压的手术方式,术后根据颅内压、脑灌注压动态监测结果及动态复查CTA的表现,适时调整治疗方案,不仅可以降低外伤性脑梗死的发生率,还能明显改善其预后.
목적 탐토중형로뇌상후뇌경사적방치책략.방법 장232례중형로뇌상환자수궤분성량조진행전첨성연구,량조술중급술후분별채용불동적치료방안,대비량조외상성뇌경사적발생솔급예후.결과 재치료과정중,량조균유외상성뇌경사발생.동일시간단,량조외상성뇌경사적발생솔상비교,치료조명현저우대조조(P＜0.05).안GOS치료결과평정,치료조예후우우대조조,치료조사망솔저.결론 대우수술적중형로뇌상환자,술중채용공제감압적수술방식,술후근거로내압、뇌관주압동태감측결과급동태복사CTA적표현,괄시조정치료방안,불부가이강저외상성뇌경사적발생솔,환능명현개선기예후.
Objective To investigate the prevention and treatment strategies of posttraumatic cerebral infarction (PICI) in patients with severe head trauma after operation.Method A total of 232 cases of severe brain injuries who suffered craniotomy are divided into two groups randomly and analyzed prospectively by using different treatments in two groups during and after operation,comparing the incidence and prognosis of PTCI.Results During the treatment period,PTCI occurred in both two groups.In the same period,the frequency of PTCI in treatment group was lower than the control group( P ＜0 05).Glasgow Outcome Scale(GOS),the good recovery rate of treatment group was higher than the control group and death rate was decreased than the control group.Conclusions The treatment procedures according to the intracranial pressure,cerebral perfusion pressure and the performance of CTA with severe head injuries after operation not only can reduce the incidence of PTCI,but also significantly improve the PTCI patient's prognosis.