法医学杂志

法医学杂志 ›› 1993, Vol. 0 ›› Issue (3): 115-116+.

• 论文 • 上一篇    下一篇

浅析外伤性脑梗塞

王金国;   

  1. 河北省人民检察院技术处 石家庄 050051
  • 发布日期:1993-06-25 出版日期:1993-06-28

Analysis of Posttraumatic Cerebral Infarction

WANG JINGOU PROCURATORATE OF HEBEI PROVINCE   

  • Online:1993-06-25 Published:1993-06-28

摘要： 通过十四例外伤后脑梗塞案例分析,对外伤与脑梗塞的关系进行阐述,认为外伤性脑梗塞的主要原因是脑动脉血栓形成和栓塞。动脉内膜损伤致血栓形成多在四小时后;颅内出血致血管痉挛造成脑血栓多在1至3周之间;外伤致动脉粥样硬化斑块脱落造成栓塞即刻发生,结合年龄大小、有无心血管疾患以及脑梗塞的部位,便可弄清损伤与脑梗塞的关系。

关键词: 外伤性脑梗塞, 血栓形成, 偏瘫, 脑栓塞

Abstract: This article reports 14 cases of post-traumatic infarction.The problem of trauma in relation to cerebral infarction is discussed.The authers are of the opinion that post-traumatic cerebral infarction is mainly caused by thrombosis and embolism of cerebral arteris.Damage to endothelium of arteris resulted in thrombosis commonly as early as 4 hours after trauma.Cerebral thrombosis due to vascu- lar spasm induced by infracranial hemorrhage occur usually 1-3 Weeks.Embolism derived from ma- terial of atheromatous plaques occur immdiately.We can determine the relation between the trauma and cerebral infarction,depending on age,history of cerebrovascular diseases and the iste of the cerebral infarction.

Key words: post-traumatic cerebral infarction, thrombosis, hemiplegic paralysis, cerebral embolism.