重型颅脑损伤继发颅内出血与脑肿胀的危险因素及预后

Risk Factors and Prognosis of Intracranial Hemorrhage and Brain Edema after Severe Craniocerebral Injury

目的探讨重型颅脑损伤中继发颅内出血与脑肿胀的危险因素。方法以186例重型颅脑损伤患者资料为研究对象,对患者资料进行回顾性分析,对继发颅内出血与脑肿胀的高危因素进行对比选择,并进行Logistic回归分析。结果额颞叶脑挫伤、脑室出血、硬膜下血肿合并蛛网膜下腔出血、GCS评分对重型颅脑损伤中继发颅内出血与脑肿胀影响显著,为主要危险因素。结论重型颅脑损伤治疗中针对继发颅内出血与脑肿胀的相关危险因素采取预防措施,可提高临床的救治率。

Objective To investigate the risk factors of intracranial hemorrhage and brain swelling in patients with severe cranioce- rebral injury. Methods 186 cases of severe brain injury patients admitted to our hospital admissions data as the research object, the pa- tients were retrospectively analyzed, the comparison and selection of risk factors and cerebral edema secondary to intracranial hemor- rhage, and logistic regression analysis. Results Frontotemporal brain contusion, intraventricular hemorrhage, subdural hematoma com- plicated with subarachnoid hemorrhage, GCS score of severe craniocerebral injury of intracranial hemorrhage and brain swelling effect, are the main risk factors. Conclusion In the treatment of severe craniocerebral injury, we should take preventive measures for the risk factors of secondary intracranial hemorrhage and brain swelling.