| 刘斌.中重度颅脑外伤患者继发急性外伤性脑梗死的危险因素和预后分析[J].安徽医药,2016,20(11):2104-2106. |
| 中重度颅脑外伤患者继发急性外伤性脑梗死的危险因素和预后分析 |
| Risk factors and prognosis of secondary acute traumatic cerebral infarction in patients with moderate to severe craniocerebral injury |
| 投稿时间：2016-05-10 |
| DOI： |
| 中文关键词: 颅脑外伤 外伤性脑梗死 危险因素 预后 |
| 英文关键词: Brain injury Traumatic cerebral infarction Risk factors Prognosis |
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| 中文摘要: |
| 目的 探索中重度颅脑外伤患者继发急性外伤性脑梗死(PTCI)的危险因素及预后。方法 选择1 108例中重度颅脑损伤患者,分析年龄、性别、格拉斯哥昏迷量表(GCS)评分、脑疝、低血压或休克、感染、蛛网膜下腔出血、颅底骨折、糖尿病、实施去骨瓣减压术等对PTCI发生的影响,并采用格拉斯哥预后量表(GOS)评估患者预后。结果 1 108例中重度颅脑外伤患者中,共有138例并发PTCI,发生率为12.45%。患者年龄、GCS评分、颅底骨折、蛛网膜下腔出血、脑疝、低血压或休克、感染、糖尿病、去骨瓣减压术等因素与中重度颅脑外伤患者继发PTCI有密切相关性,差异有统计学意义(P<0.05)。而患者性别与中重度颅脑外伤患者继发PTCI关系不大,差异无统计学意义(P＞0.05)。中重度颅脑外伤继发PTCI患者预后不良率为69.56%,较无继发PTCI组患者明显增加,差异有统计学意义(P<0.05)。结论 中重度颅脑外伤患者继发PTCI发生率高,对患者预后影响较大,而患者年龄、GCS评分、颅底骨折、蛛网膜下腔出血、脑疝、低血压或休克、感染、糖尿病、去骨瓣减压术等均是并发PTCI的危险因素,应引起高度重视。 |
| 英文摘要: |
| Objective To explore the risk factors and prognosis of secondary acute traumatic cerebral infarction(PTCI)in patients with moderate to severe craniocerebral injury.Methods The study was conducted among 1108 cases of severe craniocerebral injury patients.Analysis was made of the influence of age,gender,GCS score,cerebral hernia,hypotension or shock,infection,subarachnoid hemorrhage,skull fracture,diabetes,implementation of decompressive craniectomy on the occurrence of PTCI,and the Glasgow Outcome Scale(GOS)was adopted to evaluate the prognosis of patients.Results A total of 138(12.45%)patients had PTCI.There was a close relationship between the age of patients,GCS score,skull fracture,subarachnoid hemorrhage,cerebral hernia,hypotension or shock,infection,diabetes,decompressive craniectomy and the occurrence of PTCI and the differences were statistically significant(P<0.05). There was no close relationship between the gender of patients and secondary PTCI,and the difference was not statistically significant(P>0.05).The poor prognosis rate of patients with moderate or severe traumatic brain injury complicated with PTCI was 69.56%,obviously higher than that of patients without PTCI and the difference was statistically significant(P<0.05).Conclusions There is a high incidence of PTCI among moderate tosevere craniocerebral injury patients,which has a greater impact on the prognosis of the patients,and the patients′age,GCS score,skull fracture,subarachnoid hemorrhage,cerebral hernia,hypotension or shock,infection,diabetes,decompressive craniectomy are the risk factors associated with PTCI,which is worthy of special attention. |
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