中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
22期
1-2
,共2页
外伤性脑梗塞%临床特点%防治
外傷性腦梗塞%臨床特點%防治
외상성뇌경새%림상특점%방치
Traumatic cerebral infarction%Clinical characteristics%Prophylaxis and treatment
目的：探讨外伤性脑梗塞的临床特点，做到积极预防、早期发现、早期治疗。方法回顾性分析该院2009年1月-2014年3月，神经外科颅脑外伤住院患者中，51例发生外伤性脑梗塞患者的诊治经过。结果外伤性脑梗塞发生率占同期颅脑创伤住院患者总数的3.9%。伤后12个月GOS评分1分7例；2分5例；3分10例；4分12例；5分17例。死亡及重残比率为43%。结论外伤性脑梗塞是导致颅脑外伤患者死残率增高的主要并发症，依据其发生、发展的特有规律早期预防，是减少外伤性脑梗塞发生率，降低死亡及重残比率的关键。
目的：探討外傷性腦梗塞的臨床特點，做到積極預防、早期髮現、早期治療。方法迴顧性分析該院2009年1月-2014年3月，神經外科顱腦外傷住院患者中，51例髮生外傷性腦梗塞患者的診治經過。結果外傷性腦梗塞髮生率佔同期顱腦創傷住院患者總數的3.9%。傷後12箇月GOS評分1分7例；2分5例；3分10例；4分12例；5分17例。死亡及重殘比率為43%。結論外傷性腦梗塞是導緻顱腦外傷患者死殘率增高的主要併髮癥，依據其髮生、髮展的特有規律早期預防，是減少外傷性腦梗塞髮生率，降低死亡及重殘比率的關鍵。
목적：탐토외상성뇌경새적림상특점，주도적겁예방、조기발현、조기치료。방법회고성분석해원2009년1월-2014년3월，신경외과로뇌외상주원환자중，51례발생외상성뇌경새환자적진치경과。결과외상성뇌경새발생솔점동기로뇌창상주원환자총수적3.9%。상후12개월GOS평분1분7례；2분5례；3분10례；4분12례；5분17례。사망급중잔비솔위43%。결론외상성뇌경새시도치로뇌외상환자사잔솔증고적주요병발증，의거기발생、발전적특유규률조기예방，시감소외상성뇌경새발생솔，강저사망급중잔비솔적관건。
Objective To investigate the clinical characteristics of traumatic cerebral infarction (TCI) and early positive prevention, detection and treatment of the disease should be done. Methods A review was conducted on the diagnosis and treatment of 51 TCI patients among the hospitalized patients with craniocerebral trauma in the Department of Neurosurgery of our hospital from January 2009 to March 2014. Results 3.9% of the patients with craniocerebral trauma hospitalized during the same period had TCI. 12 months after injury, GOS was 1 point in 7 patients, 2 points in 5 patients, 3 points in 10 cases, 4 points in 12 patients, and 5 points in 12 patients. The mortality and disability rate (MADR) was 43%. Conclusion TCI is a major complication that causes the increase of MADR in craniocerebral trauma patients. The early prophylaxis of TCI based on its special occurrence and progression pattern is the key to reducing the incidence of traumatic cerebral infarction and its MADR.
