After traumatic brain injury of 10 cases of cerebral infarction.docVIP

 PAGE \* MERGEFORMAT 7 After traumatic brain injury of 10 cases of cerebral infarction [Keywords:] head injury with cerebral infarction Traumatic cerebral infarction is a serious complication after traumatic brain injury, a lower incidence in clinical, but the pathogenesis of complex, often resulting in severe neurologic deficit, and the condition changes quickly, more complications, the prognosis is poor, death rate. strengthen the observation, so that early detection and early diagnosis, proper treatment according to the disease and help improve the cure rate and improve the quality of life of patients. now our department from June 2005 to March 2008 10 patients were treated cranial cerebral infarction after traumatic brain injury cases reported as follows. 1 Clinical data 1.1 General information on 10 cases of this group of patients, 6 males and 4 females, aged 14 to 75 years. Traffic accident in 6 cases, 2 cases of combat injuries, fall injuries in 2 cases. Admission GCS score of less than 3 by 3 cases 4 to 8 points in 5 cases, 9 to 12 points in 2 cases. The main clinical manifestations were headache, vomiting, paralysis, or single-paralysis, aphasia, or language is unclear, seizures. 24 h after injury Canon CT examination in 1 case, 1 w in CT review found that cerebral infarction. infarction in 1 case of them, 4 patients with cerebral contusion, intracranial hematoma in 4 cases, 1 case of cerebral hernia combined skull fracture in 6 cases. infarction in the basal ganglia in 4 cases, respectively, other located in the frontal temporal, occipital lobe, cerebellum, frontal temporal lobe. 1.2 treatment of hematoma evacuation or decompressive craniectomy in 5 cases, postoperative dehydration, vasodilators and other treatment. Non-surgical treatment for 4 patients, and dilation of blood vessels, anti-spasm, supplementary blood volume, neurotrophic drugs, hyperbaric oxygen treatment. thrombolytic therapy in 1. with intracranial hypertension seconda