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目的对不同部位、不同面积的外伤性脑梗塞进行有区别的治疗，以提高治疗效果。方法灶状梗塞病人给予内科综合治疗，重症颅脑损伤合并大血管区梗塞者，行手术清除血肿、颞肌下减压及内科药物治疗。结果灶状梗塞组中，儿童患者１４～２８天症状全部消失，青壮年组（２２例）治愈１４例，轻瘫６例，失语２例。大血管区梗塞组（１１例）死亡６例，中到重度残３例，植物生存１例，良好１例。结论外伤性脑梗塞预后主要取决于梗塞灶内残存脑血流量。重度颅脑损伤合并大血管区梗塞者，死亡率明显高于无梗塞者，且致残率较高，治疗中应予以高度重视
Objective To differentiate traumatic cerebral infarction in different parts and different areas in order to improve the therapeutic effect. Methods Patients with focal infarction were given comprehensive medical treatment. Patients with severe craniocerebral injury complicated with macrovascular infarction were treated with surgical resection of hematoma, decompression of temporal muscle and medical treatment of internal medicine. Results In the group of focal infarction, all the symptoms disappeared in 14-28 days in children, 14 cases were cured in young adults (22 cases), 6 cases were hemiparesis, and 2 cases were aphasia. Large vessel infarction group (11 cases) died of 6 cases, 3 cases of moderate to severe residual disease, plant survival in 1 case, good in 1 case. Conclusion The prognosis of traumatic cerebral infarction depends mainly on residual cerebral blood flow in the infarct. Severe craniocerebral injury with large vascular infarction, mortality was significantly higher than those without infarction, and the high morbidity, treatment should be highly valued