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目的:探讨重型颅脑损伤术后并发大面积脑梗死的原因、诊断及防治方法。方法:回顾性分析25例重型颅脑损伤术后并发大面积脑梗死患者的临床资料。结果:按格拉斯哥结果分级(GOS)判断预后的标准,恢复良好5例,中残3例,重残3例,植物生存5例,死亡9例。结论:重型颅脑损伤术后并发大面积脑梗死原因复杂,死亡率高。必须严密观察病情变化,及时进行影像学检查,做到早期发现,采取综合防治措施,以提高抢救成功率。
Objective: To investigate the causes, diagnosis, prevention and treatment of severe cerebral infarction complicated by severe craniocerebral injury. Methods: The clinical data of 25 patients with severe craniocerebral injury complicated with large area cerebral infarction were retrospectively analyzed. Results: According to the outcome of Glasgow outcome grading (GOS), 5 cases were recovered well, 3 cases were moderate disability, 3 were severe disability, 5 were plant survival and 9 were death. Conclusion: The causes of large area cerebral infarction complicated by severe craniocerebral injury are complex and the mortality rate is high. Must closely observe the changes in condition, timely imaging examination, early detection, to take comprehensive prevention and treatment measures to improve the success rate of rescue.