摘要
目的评价颅脑外伤后蛛网膜下腔出血(SAH)影响预后的各种因素。方法分析118例颅脑外伤后SAH病人的年龄、格拉斯哥评分(GCS)、脑干反射、生命体征和腰穿资料和预后的关系。结果外伤性SAH病人的预后比无SAH病人的预后明显差。GCS低于3分,脑干反射消失绝大多数显示预后不良,生命体征严重紊乱、严重意识障碍、腰穿脑脊液红细胞数大于1万/ml和颅内压力(ICP)持续增高的病人预后较差;因此以上因素与预后有密切关系。结论这些检查简单易行,评估指标明确,对外伤性SAH的诊治及预后判断有价值。
bjective To evaluate factors of posttraumatic subarachnoid hemorrhage(SAH) affecting on the prognosis.Methods 118 patients with subarachnoid hemorrhage (SAH) after brain injuries were reported by authors.The relations between the age、Glasgow coma scale(GCS)、reflex of stem、vital signs、and CSF were analysed.Results The prognosis of patients with posttraumatic SAH were obviously poorer than those without SHA.When patients' GCS were less than 3 and/of their brain stem reflex did not exist,their prognoses were poor.The patients with severe disorder of vital signs and consciousness and more than 10,000 erythrocytes in 1ml CSF and continuous high ICP had very poor prognosis. The studies indicated their relations were very close.Conclusions These examinations are simple and valuable to evaluating the prognosis and to guiding diagnosis and treatments.
出处
《中国行为医学科学》
CSCD
1996年第4期215-218,共4页
Chinese Journal of Behavioral Medical Science
关键词
脑损伤
创伤
蛛网膜下腔出血
预后
Brain injury Subarachnoid hemorrhage CSF Prognosis