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目的 探讨颅脑术后脑梗死的发病特点及防治措施。方法 回顾性总结了 10例颅脑术后脑梗死病例。结果 患者均具有高血压、冠心病及糖尿病等多个脑梗死高危因素。颅脑术后脑梗死发生于术后 1周内者 8例 ,其中 3天以内者 6例 ;脑梗死发生于手术区域附近者 4例 ,非手术区域附近者 7例 ,其中 1例的脑梗死发生于上述两个区域。结论 脑梗死发病的危险因素是颅脑术后脑梗死发生的主要原因。因手术引发的脑水肿、血液流变学和凝血机制的改变、出血及输血等是促发颅脑术后脑梗死的重要因素。围手术期对脑梗死发病的危险因素的及时诊断和治疗 ,是防止术后脑梗死发生的主要手段。
Objective To explore the incidence of brain infarction after craniocerebral injury and prevention measures. Methods A retrospective review of 10 cases of cerebral infarction after brain surgery cases. Results All patients had high risk factors of multiple cerebral infarction such as hypertension, coronary heart disease and diabetes mellitus. Brain infarction occurred within 1 week after surgery in 8 cases, of which 6 cases within 3 days; cerebral infarction occurred in 4 cases near the surgical area, 7 cases near the non-surgical area, including 1 case of cerebral infarction Occurs in the above two areas. Conclusion The risk factors of cerebral infarction are the main causes of cerebral infarction after craniocerebral surgery. Cerebral edema caused by surgery, changes in blood rheology and coagulation mechanisms, bleeding and blood transfusion is an important factor in triggering cerebral infarction after craniocerebral surgery. Perioperative diagnosis of cerebral infarction risk factors and timely diagnosis and treatment is to prevent the occurrence of postoperative cerebral infarction the main means.