颅脑外伤论文：颅脑外伤脑梗塞诊断治疗

1、【中文摘要】分析外伤性脑梗塞的发病机理、诊断和治疗，提高对外伤性脑梗塞的认识研究对象及方法：研究对象为郑州大学第一附属医院神经外科2009年9月至2011年3月共收治的外伤性脑梗塞病例20例，其中男12例，女8例；年龄675岁，平均36.2岁。60岁5例。入院时GCS评分：1315分12例,912分4例,38分4例。方法：回顾性分析这20例外伤性脑梗塞病人的相关临床资料结果：根据患者脑梗塞的不同程度而采取手术或非手术治疗方法，对20例患者按照格拉斯哥预后评分恢复标准(GlasgowOutcomeScale,GOS)判断预后：完全恢复10例(50.0%),良好5例(25.0%),中残3例(15.

2、0%),重残2例(10.0%),无死亡病例。结论：外伤性脑梗塞是颅脑损伤的常见并发症，及时采用预防保护措施、早期诊断及选用恰当的治疗方法可降低外伤性脑梗塞患者致残率，致死率,显著改善其预后。【英文摘要】:Toanalyzethepathogeneticmechanism,diagnosisandtreatmentsoftraumaticcerebralinfarction.ResearchobjectsandMethods:A11the20casesweresufferersoftraumaticcerebralinfarction,whocamefromthedepartmentofNeur

3、osurgeryoftheFirstAffiliatedHospitalofZhengzhouUniversity,duringSeptember2009andMarch2011.Theywereanalyzedretrospectively.Amongofthesecases,12casesweremale,and8caseswerefemale;Abouttheage,theyoungestonewas6yearsoldandtheoldestonewas75yearsold,theaverageagewas36.2yearsold.Amongofthem,9caseswerebelow1

4、2yearsold,6caseswerebetween12and60yearsold,only5caseswereover60yearsold.Meanwhile,accordingtoGCSstandard:12caseswerebetween13and15points,4caseswerebetween9and12points,4caseswerebetween3and8points;Results:Accordingtodifferentdegreeofpatientswithcerebralinfarction,wetooksurgeryornonoperativetherapy.Fo

5、llowingGOSfetandardof20patients,10patientsrecoveredtheirhealthcompletely(50.0%),5patientswereingoodcondition(25.0%),3patientsweremoderatelydisabled(15.0%),and2patientswereseverelydisabled(10.0%),nodeathsexisted.Conclusion:Traumaticcerebralinfarctionisacommoncomplicationofcraniocerebraltrauma,Bytakin

6、gtimelypre-protectionmeasures、makingearlydiagnosisandadoptingpropertreatments,wecanreducethemorbidityandmortalityofpatientsandimprovetheresultstoagreatdegree.【关键词】颅脑外伤脑梗塞诊断治疗【英文关键词】CraniocerebraltraumaCerebralinfarctionDiagnosisTherapy【目录】20例外伤性脑梗塞的临床分析摘要4-5Abstract5-6附图8-10中英文缩略词索引10-11第一章前言11-12第二章临床资料12-132.1一般资料122.2致伤原因122.3佑床表现122.4CT检查122.5脑梗塞部位及梗塞范围122.6治疗方法12-13第三章结果13-14第四章讨论14-214.1发生率144.2发生时间144.3影像特点14-154.4备床特点154.5白床诊断15-164.6病理生理164.7发病机理16-174.8备床治疗17-21第五章结论21-22参考文献22-23综述外伤性脑梗塞的临床研究分析23-37参考文献34-37个人简历37-38在学期间发表的学术论文与研究