摘要
目的对创伤性脑损伤后颅内进展性出血危险因素进行调查分析。方法选取来我院就诊的798例创伤性脑损伤患者,对患者颅内出血有无进展及其进展的程度进行判断,并以此为依据对患者进行分组,其中进展组为355例,非进展组为443例。结果进展组患者与非进展组比较,其年龄明显较大,入院时的GCS评分、HCT1、PLT计数均明显较低,复查CT血肿量、PT、INR、D-D及FDP均明显较高,以上各观察指标在两组间均有统计学意义(P<0.05)。Logistic回归分析结果表明,颅内进展性出血的危险因素包括以下方面:年龄、FDP、INR及其D-D。结论年龄、D-D、FDP及其INR为创伤性脑损伤患者颅内进展性出血的危险因素,如果患者的GCS、HCT1及其PLT具有较低的数值,则应该提高重视程度,对其监护应该加强。
Objective To survey on traumatic brain injury on the progress of intracranial bleeding risk factors. Methods A total of 798 cases of traumatic brain injury patients were selected in our hospital,patients with intracranial hemorrhage of any progress to determine the extent of their progress, and as a basis for the patient group, progress group was 355 cases, non-progressive group had 443 cases. Results Progress group compared with non-progressive group,their age was greater, admission GCS score, HCT1 ,PLT counts were significantly lower CT scan hematoma volume, PT, INR, D-D and FDP were significantly higher than the observed indicators between the two groups, the difference were significantly statistically sig- nificant （P 〈 0.05）. Logistic regression analysis showed that the risk of intracranial bleeding in progress include the follow- ing factors： age,FDP,INR and D-D. Conclusion Age,FDP,INR and D-D with traumatic brain injury patients progress intracranial bleeding risk factors,if the patient＇s GCS, HCT1 and PLT count has a low value,you should increase the de- gree of attention to its care should be strengthened.
出处
《中国现代医生》
2012年第17期22-23,26,共3页
China Modern Doctor
