颅脑损伤术后并发脑梗死的相关因素分析

发布时间：2018-04-05 02:25

本文选题：颅脑损伤　切入点：手术　出处：《中国现代医生》2015年16期

【摘要】：目的探讨颅脑损伤术后并发脑梗死的相关因素。方法回顾性分析颅脑损伤手术治疗患者89例的临床资料,根据是否出现术后脑梗死分为脑梗死组和对照组。比较两组患者的临床资料,分析患者发生术后脑梗死的相关因素。结果术后脑梗死组患者年龄≥61岁的比例、脑内血肿的比例、患者有高血压、糖尿病、房颤病史的比例、受伤至入院时间12 h的患者比例、吸烟饮酒的患者比例也显著高于对照组(P0.05或P0.01)。结论颅脑损伤术后脑梗死是严重的并发症,而高龄、脑内血肿、受伤至入院时间长、患者合并高血压、糖尿病、房颤以及有吸烟和饮酒史是患者发生术后脑梗死的危险因素。
[Abstract]:Objective to investigate the related factors of cerebral infarction after craniocerebral injury.Methods the clinical data of 89 patients with craniocerebral injury treated by operation were analyzed retrospectively. The patients were divided into cerebral infarction group and control group according to the occurrence of postoperative cerebral infarction.The clinical data of the two groups were compared and the related factors of postoperative cerebral infarction were analyzed.Results the proportion of patients aged more than 61 years, the proportion of intracerebral hematoma, the proportion of patients with hypertension, diabetes mellitus, atrial fibrillation history, and the proportion of patients with injury to hospitalization time of 12 hours after operation were analyzed.The proportion of smoking and drinking patients was significantly higher than that of control group (P 0.05 or P 0.01).Conclusion Cerebral infarction after craniocerebral injury is a serious complication. Elderly patients, intracerebral hematoma, long time from injury to admission, patients with hypertension, diabetes, atrial fibrillation, smoking and drinking history are the risk factors of postoperative cerebral infarction.
【作者单位】：四川省宜宾市第二人民医院神经外科;
【分类号】：R651.15

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