摘要
目的:探讨外伤性低颅压综合症的临床特征及影响因素。方法:选取2018年1月-2019年12月广东医科大学附属第二医院神经外科收入院的169例颅脑外伤患者进行回顾性病例分析,根据CT影像学和腰椎穿刺测压结果,分为低颅压综合症组和非低颅压综合症组,采用相关分析和logistic回归分析法得出外伤性低颅压综合症的影响因素。结果:在颅脑外伤患者中低颅压综合症发生率为23.08%,其主要临床表现为头痛、恶心、呕吐。休克(OR=6.273)、呼吸衰竭(OR=10.431)、血乳酸(OR=4.671)和GCS评分(OR=13.287)等4项是引起外伤性低颅压综合症的独立危险因素(P<0.05)。结论:外伤性低颅压综合症主要危险因素为严重颅脑外伤、休克、呼吸衰竭和高乳酸血症,其引起的头痛、恶心、呕吐与颅内压增高症状较为相似,临床中必须慎加区别。
Objective:To explore the clinical characteristics and influencing factors of traumatic hypotension syndrome.Methods:169 patients with head injury in the Neurosurgery Department in the hospital from January,2018 to December,2019 were analyzed retrospectively.According to the results of CT imaging and lumbar puncture pressure measurement,they were divided into low intracranial pressure syndrome group and non low intracranial pressure syndrome group.The influencing factors of traumatic low intracranial pressure syndrome were obtained by correlation analysis and logistic regression analysis.Results:The incidence of low intracranial pressure syndrome was 23.08%.The main clinical manifestations were headache,nausea and vomiting.Shock(OR=6.273),respiratory failure(OR=10.431),blood lactate(OR=4.671)and GCS score(OR=13.287)were the independent risk factors(P<0.05).Conclusion:The main risk factors of traumatic intracranial hy potension syndrome are severe craniocerebral injury,shock,respiratory failure and hyperlactatemia.The symptoms of headache,nausea and vomiting caused by traumatic intracranial hypotension sy ndrome are similar to those of intracranial hy potension syndrome,which should be distinguished carefully in clinical practice.
作者
陈昶春
柯志通
钟晖东
CHEN Chang-chun;KE Zhi-tong;ZHONG Hui-dong(Neurosurgery Department,The Second Affiliated Hospital of Guangdong Medical University,Zhanjiang,Guangdong,524000,China)
出处
《黑龙江医学》
2021年第1期77-79,共3页
Heilongjiang Medical Journal
关键词
低颅压综合症
临床特征
影响因素
LOGISTIC回归
Low intracranial pressure sy ndrome
Clinical characteristics
Influencing factors
Logistic regression
