[摘要] 目的 分析颅脑外伤后并发脑梗死的发生机制，探讨早期预防、救治的措施。方法 回顾性分析28例经影像学证实为颅脑外伤并发脑梗死患者的临床资料。结果 按格拉斯哥结果分级(GOS)判断预后的标准，恢复良好12例，中残5例，重残3例，植物生存4例，死亡4例。结论 重型颅脑损伤合并脑梗死有一定死亡率，早期诊断和早期治疗是提高疗效的关键。

    [关键词] 颅脑损伤；脑梗死

    Analysis of cerebral infarction in patients with serious occlusive traumatic brain injury

    FENG Wei-wen,PAN Zhi-han.Taiping People’s Hospital of Dongguan,Guangdong 523900,China

    [Abstract] Objective To investigate the mechanism，prevention and therapy of cerebral infarction after occlusive traumatic brain injury.Methods Data of 28 cases confirmed by imaging examination were collected and analyzed retrospectively.Results According to Glasgow Outcome Scale(GOS)scores，12 patients were classified as having good recovery，5 moderate neurological deficit，3severe neurological deficit，and 3 in vegetable state.Death occurred in 4 cases.Conclusion Cerebral infarction after occlusive traumatic brain injury has a notable mortality and early diagnosis and treatment should be taken to improve the effect. ......