[摘要]目的探讨外伤性椎动脉夹层致迟发性脑梗死的诊断治疗策略。方法报告1例外伤性椎动脉夹层致迟发性脑梗死病人，结合该类疾病的文献复习，对其发病特点、疾病进展及诊治过程进行分析。结果本例病人以头颈部外伤入院，但入院后发生了迟发性脑梗死，经颅脑磁共振成像明确了外伤性椎动脉夹层诊断，并行脑血管造影证实了夹层的存在，经过抗凝治疗后好转出院。结论及早地明确诊断和治疗有助于改善外伤性椎动脉夹层病人的预后。

    [关键词]椎动脉破裂；脑梗死；病例报告[中图分类号]R743.9

    [文献标志码]B[文章编号]20965532(2025)01014504" " doi：10.11712/jms.20965532.2025.61.010[HT]

    [开放科学(资源服务)标识码(OSID)]

    [网络出版]https：//link.cnki.net/urlid/37.1517.R.20250305.1353.004;2025030615：31：57

    [Abstract]Objective To investigate the diagnostic and therapeutic strategies for delayed cerebral infarction caused by traumatic vertebral artery dissection."Methods This article reports a case of delayed cerebral infarction caused by traumatic vertebral artery dissection， and an analysis was performed for pathogenesis， disease progression， and diagnosis and treatment processes with reference to a literature review of such diseases."Results This patient was admitted to the hospital due to head and neck trauma ......