摘要
目的研究中重度颅脑外伤患者继发急性外伤性脑梗死(PTCI)的危险因素和预后,为临床提供临床依据。方法选取中重度颅脑外伤患者253例,其中39例1周内发生PTCI,应用多因素Logistic回归分析PTCI的危险因素。结果 39例PTCI患者中5例死亡,6例成植物人,28例意识恢复;Logistic回归分析显示:入院后格拉斯哥昏迷量表(GCS)评分、是否合并脑疝、低血压、颅高压、弥漫性血管内凝血(DIC)评分是发生PTCI的危险因素(P<0.05);入院GCS评分、合并脑疝、低血压、DIC评分、合并感染是引起PTCI预后不良的独立影像因素(P<0.05)。结论入院GCS评分、合并脑疝、低血压、DIC评分与PTCI有关,入院GCS评分、合并脑疝、低血压、DIC评分、合并感染与PTCI预后有关。
Objective To study the risk factors and prognosis of posttraumatic cerebral infarction（PTCI）in patients with moderate or severe traumatic brain injury,so as to provide clinical reference.Methods Totally253 patients with severe traumatic brain injury were selected,of which 39 cases had PTCI within a week.Risk factors of PTCI were analyzed by using multi -factor Logistic regression.Re-sults Five patients died,6 patients in a vegetative state,28 cases of recovery of consciousness in 39 case of PTCI.Logistic regression analysis showed that Glasgow Coma Scale（GCS）after admission,a merger of the hernia,hypotension,intracranial hypertension,diffuse intravascular coagulation（DIC）score were PTCI risk factors（P 〈0.05）;GCS score on admission,combined with hernia,hypotension, DIC score,concurrent infection were the independent image factors of poor prognosis of PTCI（P 〈0.05）.Conclusions The GCS score on admission,combined with cerebral hernia,hypotension,DIC score are related with PTCI,and GCS score on admission,combined with cerebral hernia,hypotension,DIC score,concurrent infection are related to the prognosis of PTCI.
出处
《安徽医药》
CAS
2016年第9期1720-1723,共4页
Anhui Medical and Pharmaceutical Journal
关键词
颅脑损伤/并发症
脑梗死
危险因素
预后
Craniocerebral trauma/complications
Brain infarction
Risk factors
Prognosis
