摘要
分析２３７例急性外伤性硬膜下血肿病人的预后，出院时（伤后２个月）１２４例恢复良好，轻残与重残２８例，８５例死亡。选择病人入院时的有关临床指标，应用Ｌｏｇｉｓｔｉｃ回归分析方法研究表明，入院时的ＧＣＳ评分和瞳孔大小及光反应与病人的预后密切相关，ＧＣＳ评分和瞳孔变化相结合应用可以尽早而准确地预测急性硬膜下血肿病人的预后，为治疗提供依据。
This study is based on a series of 237 consective head injury patients with the CT scan diagnosis of acute subdural hematoma, The overall outcome was assessed at discharge using the Glasgow Outcome Scale . There were 124 patients with favorable(including good and moderate disability )and 113 patienls with unfavorable (including severe disability, vegetative state and dead). The total mortatity at discharge in the 237 patients was 36%。 After logistic regression analysis,a small set of clinical features (The sum Glasgow Coma Scale score on admissim, pupillary size and light reaction was revealed as sighificant prognotic factors . The mothod described allows bedside predictions for the patients with acute subdural hematoma .
出处
《中华神经外科杂志》
CSCD
北大核心
1996年第1期44-45,共2页
Chinese Journal of Neurosurgery
关键词
急性
硬膜下血肿
预后
Head injury
Acute subdural hematoma
Out prediction
