摘要:目的:探討老年慢性硬膜下血腫術后腦梗死的發病特點及防治措施。方法:總結分析21例老年慢性硬膜下血腫術后出現腦梗死患者。結果:多數患者具有高血壓、高血脂、冠心病及糖尿病等多個腦梗死高危因素。術后腦梗死發生于術后1周內者18例,其中3天以內者16例;腦梗死發生于手術區域附近者14例,非手術區域附近者7例,其中5例的腦梗死發生于上述兩個區域。結論:腦梗死發病的高危因素是顱腦術后腦梗死發生的主要原因。
Abstract: Objective: To investigate and search for the causes of cerebral infarction after operation for subdural hematoma in senile patients and discuss the remedies for its prevention. Methods: Twentyone senile patients with cerebral infarction after operation for subdural hematoma were reviewed retrospectively. Results: Most of the patients were found to be suffered with several risk factors of cerebral infarction such as hypertension, coronary cardiac diseases, diabetes mellitus and so on. Eighteen cases of infarctions occurred within a week after operation, including 16 cases within 3 days. Fourteen cases of the infarctions located in regions around the operative field, while 7 cases in non operation related area, and 5 cases in both areas. Conclusions: Risk factors of cerebral infarction were the main causes to result in cerebral infarction after operation for subdural hematoma.
引用本文： 劉微波,張新平,劉中平. 老年慢性硬膜下血腫患者術后繼發腦梗死臨床分析. 華西醫學, 2009, 24(11): 3039-3040. doi: 復制