CAJ | 학술논문

目的：探讨颅脑外伤性大面积脑梗塞的发病机制、临床特点、治疗及预后。方法对23例颅脑外伤性大面积脑梗塞的患者临床资料进行回顾性分析。结果：17例术后发现脑梗塞的患者，再次手术8例。6例保守期间发现的脑梗塞患者，行标准大骨瓣减压术。术后6个月，按GOS评价预后，死亡5例，植物生存2例，重残5例，中残7例，良好4例。结论：早期诊断，治疗原发损伤，维持血容量稳定并使用血管活性药物，是改善颅脑外伤性大面积脑梗塞患者预后的关键。
목적：탐토로뇌외상성대면적뇌경새적발병궤제、림상특점、치료급예후。방법대23례로뇌외상성대면적뇌경새적환자림상자료진행회고성분석。결과：17례술후발현뇌경새적환자，재차수술8례。6례보수기간발현적뇌경새환자，행표준대골판감압술。술후6개월，안GOS평개예후，사망5례，식물생존2례，중잔5례，중잔7례，량호4례。결론：조기진단，치료원발손상，유지혈용량은정병사용혈관활성약물，시개선로뇌외상성대면적뇌경새환자예후적관건。
Objective:To explore the clinic treatment of massive posttraumatic cerebral infarction.Methods:23 patients of large area posttraumatic cerebral infarction was hospitalized from January 2003 to December 2012,the clinical data were analyzed retrospectively.Results:17 cases of patients were found after operation and 8 cases were treated by operation again. 6 cases of patients were found during the period of conservative treatment and treated by standard big bone lfap decompression.Six months after injury, 5 cases was found died,2 cases was found plant survival,5 cases was found severely disability,7 cases was found moderate disability,4 cases were found favorable prognosis.Conclusion:It is the key to improving the prognosis of patients with massive brain infarction posttraumatic cerebral infarction by early diagnosis,the treatment of primary injury,the maintaining of blood volume and the use of vasoactive drugs.