CAJ | 학술논문

目的：探讨外伤性脑梗死的临床特点及治疗方法。方法：2010年1月-2013年12月收治外伤性脑梗死患者22例，对其临床资料回顾性分析。结果：按照GOS评分，22例患者中，6例恢复良好，中残3例，重残4例，植物生存2例，死亡7例。结论：外伤性脑梗死是由于颅脑外伤、颅内压增高造成的脑组织移位、脑血流量减少、脑血管痉挛、脑血管内膜释放组织凝血酶原促进凝血等多因素所致。早期治疗原发颅脑外伤，早期维持正常血容量、应用钙离子拮抗剂等综合措施是治疗成功的关键。
목적：탐토외상성뇌경사적림상특점급치료방법。방법：2010년1월-2013년12월수치외상성뇌경사환자22례，대기림상자료회고성분석。결과：안조GOS평분，22례환자중，6례회복량호，중잔3례，중잔4례，식물생존2례，사망7례。결론：외상성뇌경사시유우로뇌외상、로내압증고조성적뇌조직이위、뇌혈류량감소、뇌혈관경련、뇌혈관내막석방조직응혈매원촉진응혈등다인소소치。조기치료원발로뇌외상，조기유지정상혈용량、응용개리자길항제등종합조시시치료성공적관건。
Objective:To explore the clinical characteristics and treatment of traumatic cerebral infarction.Methods:22 cases with traumatic cerebral infarction were selected from January 2010 to December 2013.We retrospectively analyzed clinical data. Results:According to GOS score:in 22 cases of cases,6 cases had a good recovery,3 cases had moderate disability,4 cases had severe disability,2 cases had plant survival,7 cases were death.Conclusion:Traumatic cerebral infarction was due to multiple factors,including traumatic brain injury,intracranial pressure caused by brain shift,the reduction of the cerebral blood flow, cerebral vasospasm,cerebral vascular intimal release tissue prothrombin for promote coagulation and son on.Early treatment of primary brain injury,early to maintain normal blood volume,the application of calcium antagonists and other comprehensive measures are the key to successful treatment.