[1]郭宏伟 高玉松 罗新名 张松坡 胡承啸 扈俊华 柴 超 雷亚萍.重型颅脑损伤继发脑梗死的早期防治[J].中国临床神经外科杂志,2016,(07):416-417.[doi:10.13798/j.issn.1009-153X.2016.07.009]
 GUO Hong-wei,GAO Yu-song,LUO Xin-ming,et al.Treatment of delayed cerebral infarction after severe craniocerebral injury[J].,2016,(07):416-417.[doi:10.13798/j.issn.1009-153X.2016.07.009]
点击复制

重型颅脑损伤继发脑梗死的早期防治()
分享到:

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2016年07期
页码:
416-417
栏目:
论著
出版日期:
2016-07-15

文章信息/Info

Title:
Treatment of delayed cerebral infarction after severe craniocerebral injury
文章编号:
1009-153X(2016)07-0416-02
作者:
郭宏伟 高玉松 罗新名 张松坡 胡承啸 扈俊华 柴 超 雷亚萍
463008 河南驻马店,解放军第159中心医院神经外科(郭宏伟、高玉松、罗新名、张松坡、胡承啸、扈俊华、柴 超、雷亚萍)
通讯作者:高玉松,E-mail:rancho1213@foxmail.com
Author(s):
GUO Hong-wei GAO Yu-song LUO Xin-ming ZHANG Song-po HU Cheng-xiao HU Jun-hua CHAI Chao LEI Ya-ping
Department of Neurosurgery, The 159th Central Hospital, PLA, Zhumadian, 463008, China
关键词:
重型颅脑损伤继发性脑梗死防治疗效
Keywords:
Severe craniocerebral injury Delayed cerebral infarction Treatment Curative effect
分类号:
R 651.1+5
DOI:
10.13798/j.issn.1009-153X.2016.07.009
文献标志码:
A
摘要:
目的 探讨重型颅脑损伤继发性脑梗死早期预防性治疗的效果。方法 回顾性分析53例重型颅脑损伤继发性脑梗死的临床资料,针对继发性脑梗死的高危因素早期采用预防性治疗。结果 53例中,死亡18例(34.0%)。出院后6个月按GOS评分评估预后:植物生存5例,重残8例,中残10例,恢复良好12例。出院后12个月GOS评分:植物生存5例,重残7例,中残9例,恢复良好14例。结论 早期预防性合理治疗有助于降低重型颅脑损伤继发性脑梗死的病死率,改善病人预后。
Abstract:
Objective To explore the treatment of delayed cerebral infarction. Method The clinical data of 53 patients with delayed cerebral infarction in 1 047 patients with severe craniocerebral injury (SCCI) were analyzed retrospectively. Results Of 53 patients with delayed cerebral infarction after SCCI, 18 (34.0% ) died, 5 survived vegetatively, 7 were severely disabled, 9 moderately disabled, 14 recovered well according to GOS 12 months after SCCI. Conclusion There are high mortality and high disability rate in the patients with delayed cerebral infarction after SCCI, in whom early positive prevention and treatment can improve the prognoses.

参考文献/References:

[1] 王忠诚,张玉琪. 王忠诚神经外科学[M]. 武汉:湖北科学 技术出版社,2015. 453-454.
[2] 冯 华,朱 刚,林江凯. 颅脑创伤基础与临床[M]. 北 京:人民军医出版社,2010. 283-288.
[3] 陈宏尊,黄 媛. 重型颅脑损伤继发脑梗死临床特征及危 险因素分析[J].中国实用神经疾病杂志,2014,17(7): 15-17.
[4] Wan XY, Liu SW, Wang S, et al. Elderly patients with severe traumatic brain injury could benefit from surgical treatment [J]. J World Neurosurg, 2016, 5(89): 147-152.
[5] 江基尧. 努力提高我国颅脑损伤病人的治疗效果[J]. 中国 微侵袭神经外科杂志,2006,11(9):385-386.
[6] Barthélemy EJ, Melis M, Gordon E, et al. Decompressive craniectomy for severe traumatic brain injury: a systematic review [J]. World Neurosurg, 2015, 88: 411-420.
[7] Maclaughlin BW, Plurad DS, Sheppard W, et al. The impact of intracranial pressure monitoring on mortality after severe traumatic brain injury [J]. Am J Surg, 2015, 210(6): 1086- 1087.
[8] Tang A, Pandit V, Fennell V, et al. Intracranial pressure monitor in patients with traumatic brain injury [J]. J Surg Res, 2015, 194: 565-570.
[9] 盛汉松,许尚虞,周 辉,等. 去骨瓣减压术治疗儿童重型 颅脑损伤的疗效评估[J]. 中华创伤杂志,2012,28(3): 211-214.
[10] 葛 剑,黄书岚,杨振兴,等. 外伤性脑梗死临床分析[J]. 中国临床神经外科杂志,2009,14(7):432-434.
[11] 张 罡,张 帆,谢均灿,等. 重型颅脑损伤后并发脑梗死 38例临床分析[J]. 中国临床神经外科杂志,2009,14 (10):614-616.

相似文献/References:

[1]陈 彬 陈治标 刘 佳.早期同时行脑室-腹腔分流术+颅骨修补术治疗 重型颅脑损伤的疗效[J].中国临床神经外科杂志,2016,(05):304.[doi:10.13798/j.issn.1009-153X.2016.05.017]
[2]刘 军 袁辉纯 徐立新.体温控制对重型颅脑损伤血肿清除术后的疗效及血清IMA、MDA的影响[J].中国临床神经外科杂志,2016,(07):412.[doi:10.13798/j.issn.1009-153X.2016.07.008]
 LIU Jun,YUAN Hui-chun,XU Li-xin.Effects of body temperature on serum levels of ischemia-modified albumin and malondialdehyde after surgery for intracranial hematomas in patients with severe traumatic brain injury[J].,2016,(07):412.[doi:10.13798/j.issn.1009-153X.2016.07.008]
[3]宋晓阳 黎笔熙 陈 敏 甘国胜 秦明哲 程鹏飞 陶 军 周 翔.血栓弹力图在重型颅脑损伤患者围手术期的应用[J].中国临床神经外科杂志,2016,(01):17.[doi:10.13798/j.issn.1009-153X.2016.01.006]
 SONG Xiao-Yang,LI Bi-Xi,CHEN Min,et al.Application of thrombelastography to guiding perioperative treatment of patients with severe traumatic brain injury[J].,2016,(07):17.[doi:10.13798/j.issn.1009-153X.2016.01.006]
[4]郭宏伟 高玉松 罗新民 扈俊华 尹一恒 张松坡 胡承啸.重型颅脑损伤继发应激性胃粘膜病变的危险因素分析[J].中国临床神经外科杂志,2015,(06):368.[doi:10.13798/j.issn.1009-153X.2015.06.018]
[5]任志文 赵 冬 刘 祺 王 惠 王业忠.亚低温对重型颅脑损伤患者血清MMP-9、颅内压和脑血流动力学的影响[J].中国临床神经外科杂志,2015,(07):398.[doi:10.13798/j.issn.1009-153X.2015.07.005]
 REN Zhi-wen,ZHAO Dong,LIU Qi,et al.Effect of mild hypothermia on serum level of MMP-9, intracranial pressure and cerebral blood flow dynamics in patients with severe craniocerebral injury[J].,2015,(07):398.[doi:10.13798/j.issn.1009-153X.2015.07.005]
[6]刘福增 王 鹏 韩树生 殷尚炯 张建宇.改良T形切口去骨瓣减压术治疗重型颅脑损伤的疗效观察[J].中国临床神经外科杂志,2015,(07):424.[doi:10.13798/j.issn.1009-153X.2015.07.014]
[7]高玉松 扈俊华 罗新名 张亚东 郭宏伟 张松坡 胡承啸 雷亚平.咪达唑仑对重型颅脑损伤患者应激性胃黏膜病变的影响[J].中国临床神经外科杂志,2015,(07):426.[doi:10.13798/j.issn.1009-153X.2015.07.015]
[8]曹 轲 段兴浩 刘玉飞 冯 进 徐兴国 陈一笑 马 辉 李宗正.重型颅脑损伤去骨板减压术后早期腰椎穿刺术与继发性脑积水的关系[J].中国临床神经外科杂志,2015,(09):535.[doi:10.13798/j.issn.1009-153X.2015.09.008]
 CAO Ke,DUAN Xing-hao,LIU Yu-fei,et al.Analysis of relationship between early lumbar puncture and the incidence of secondary postoperative hydrocephalus in patients with severe traumatic brain injury[J].,2015,(07):535.[doi:10.13798/j.issn.1009-153X.2015.09.008]
[9]周 杰 何光祥 陈玉秋 酉 建 刘洛同 明 扬 陈礼刚.重型颅脑损伤术后无创脑水肿监测的临床应用[J].中国临床神经外科杂志,2015,(03):144.[doi:10.13798/j.issn.1009-153X.2015.03.005]
 ZHOU Jie,He Guang-xiang,CHEN Yu-qiu,et al.Non-invasive monitoring of postoperative cerebral edema in patients with severe craniocerebral trauma[J].,2015,(07):144.[doi:10.13798/j.issn.1009-153X.2015.03.005]
[10]陈少军 王迎难 唐朝晖 汤 华 韩 晶 姚龙飞.重型颅脑损伤院内感染的临床分析[J].中国临床神经外科杂志,2015,(03):170.[doi:10.13798/j.issn.1009-153X.2015.03.015]

更新日期/Last Update: 1900-01-01