中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2011年
19期
34-36
,共3页
刘保国%何黎明%余英教%朱飚%李平安%李冲%郭铭%梁晓华
劉保國%何黎明%餘英教%硃飚%李平安%李遲%郭銘%樑曉華
류보국%하려명%여영교%주표%리평안%리충%곽명%량효화
外伤性脑梗死%医源性因素
外傷性腦梗死%醫源性因素
외상성뇌경사%의원성인소
Traumatic cerebral infarction%Iatrogenic factors
目的 探讨外伤性脑梗死的医源性因素及其防治.方法 对收治的14例与医源性因素相关的外伤性脑梗死患者的临床资料进行回顾性分析.结果 严重的脑缺血缺氧损害、过腹脱水及手术操作不当等是外伤性脑梗死的医源性因素.按格拉斯哥预后评分标准:恢复良好5例( 35.7％),中残3例(21.4％),重残2例(14.3％),植物生存1例(7.2％),死亡3例(21.4％).结论 对颅脑外伤患者不适当的治疗措施可以导致或加重外伤性脑梗死,对其进行积极有效的防治可改善颅脑外伤患者的预后.
目的 探討外傷性腦梗死的醫源性因素及其防治.方法 對收治的14例與醫源性因素相關的外傷性腦梗死患者的臨床資料進行迴顧性分析.結果 嚴重的腦缺血缺氧損害、過腹脫水及手術操作不噹等是外傷性腦梗死的醫源性因素.按格拉斯哥預後評分標準:恢複良好5例( 35.7％),中殘3例(21.4％),重殘2例(14.3％),植物生存1例(7.2％),死亡3例(21.4％).結論 對顱腦外傷患者不適噹的治療措施可以導緻或加重外傷性腦梗死,對其進行積極有效的防治可改善顱腦外傷患者的預後.
목적 탐토외상성뇌경사적의원성인소급기방치.방법 대수치적14례여의원성인소상관적외상성뇌경사환자적림상자료진행회고성분석.결과 엄중적뇌결혈결양손해、과복탈수급수술조작불당등시외상성뇌경사적의원성인소.안격랍사가예후평분표준:회복량호5례( 35.7％),중잔3례(21.4％),중잔2례(14.3％),식물생존1례(7.2％),사망3례(21.4％).결론 대로뇌외상환자불괄당적치료조시가이도치혹가중외상성뇌경사,대기진행적겁유효적방치가개선로뇌외상환자적예후.
Objective To investigate the iatrogenic factors in the occurrence and development of traumatic cerebral infarction so as to find effective prevention and treatment measures.Methods The clinical datas of 14 cases of traumatic cerebral infarctions related to iatrogenic factors were retrospectively analyzed.Results Iatrogenic factors such as severe cerebral ischemia/anoxia,overdehydration and inappropriate operative manipulation were related to traumatic cerebral infarctions. According to Glasgow Outcome Scale (GOS) scores,5 patients were classified as having good recovery (35.7％),3 cases moderate neurological deficit(21.4％ ),2 cases severe neurological deficit( 14.3％ ),and 1 case in vegetative state (7.2％),death occurred in 3 cases cases (21.4％ ).Conclusions Inappropriate treatment measures can cause or accelerate traumatic cerebral infarctions.Effective prevention and treatment measures can improve prognosis of the patients with craniocerebral injury.
