摘要
目的分析不伴有出血性脑挫伤的成人急性创伤性硬膜下血肿患者的各项临床指标与预后,为预测预后提供依据。方法用回归分析和χ2检验对70例患者各项临床指标与其预后进行统计分析。结果GCS评分、受伤后意识变化、入院时瞳孔情况、年龄、受伤原因、CT影像学表现(鞍上池显示不良或闭塞、合并蛛网膜下腔出血、血肿部位、中线移位程度)对预后产生影响。结论上述九项指标可作为预测预后的临床指标,尤以前八项影响预后更显著。
Objective To analyse clinical features and outcome of the patients of acute subdural hematoma without hemorrhagic contusion in order to predicting the prognosis. Methods Fifteen factors of acute subdural hematoma were studied retrospectively with Logistic regression analysis and X^2 test. Results Nine factors influenced the prognosis including Glasgow Coma Scale（ GCS） , consciousness changes, pupil changes, age, traumatic reasons and CT image （occlusion of super - sella cisterns , subsequent subarachnoid hemorrhage（SAH） ,hematoma position, midline shift）. Conclusions The nine factors mentioned above are regarded as clinical indexes for predicting the prognosis, especially the anterior eight factors .
出处
《中国急救医学》
CAS
CSCD
北大核心
2006年第9期649-651,共3页
Chinese Journal of Critical Care Medicine
关键词
硬膜下血肿
出血性脑挫伤
预后
Subdural hematoma
Hemorrhagic contusion
Prognosis
