颅脑创伤术后并发脑梗死的临床因素分析

Related factors of cerebral infarction after craniocerebral injury

摘要:

目的对颅脑创伤术后的患者出现脑梗死的危险因素进行分析，以此为临床工作提供借鉴，继而控制脑梗死的进一步发展，使患者的预后得到改善。方法回顾性分析因颅脑创伤行开颅手术的患者，根据相关危险因素进行统计分析，从中找到引起脑梗死的高危因素。结果患者高龄、入院时低收缩压、特定的损伤类型（脑挫裂伤、硬膜下血肿）、术前昏迷、蛛网膜下腔出血（SAH）、脑疝分析差异具有统计学意义（p <0.05），均是造成脑梗死的高危因素。结论以上因素均为术后并发脑梗死的高危因素。手术后出现脑梗死的时间一般为术后4 h~1 周之内，部位以脑叶梗死居多。

Abstract:

Objective To explore the related risk factors of cerebral infarction after craniocerebral injury, so as to guide early clinical intervention, control complications and improve the prognosis of the patients. Methods Patients undergoing craniotomy after trauma were defined as research objects. The high risk factors of cerebral infarction were statistically analyzed. Results Old age, low systolic pressure, certain types of brain injury (brain contusion, subdural hematoma), preoperative coma, occurrence of subarachnoid hemorrhage (SAH) and cerebral hernia were significantly different between the cerebral infarction group and the control group (p < 0.05), and were all risk factors of cerebral infarction. Conclusions Old age, low systolic pressure, certain types of brain injury (brain contusion, subdural hematoma), preoperative coma, occurrence of subarachnoid hemorrhage (SAH) and cerebral hernia are the risk factors of cerebral infarction after craniocerebral injury. Cerebral infarction occurs usually between 4 hours and 1 week after operation, mainly in the lobes of brain.