摘要
目的研究入院低血压(收缩压≤90mmHg)和重症脑损伤患者预后的关系。方法对299例重症脑外伤患者预后进行回顾性分析研究,将发生低血压者54例定为低压组,占18.1%,未发生低血压的245例定为非低血压组。结果低血压组死亡45例,重残2例,中残1例,恢复良好6例;非低血压组死亡98例,植物生存状态2例,重残7例,中残9例,恢复良好129例。低血压组病死率是非低血压组病死率的2倍余(P<0.01)。结论我们认为低血压可作为单独预测重型颅脑损伤预后的一个指标,为减少这种继发性损害,应及早纠正低血压,可以改善重症脑外伤患者的预后。
Objective To investigate the relationship between hypotension（systolic pressure≤90mmHg） and prognosis of severe craniocerebral disease. Methods By retrospective analysis, investigation was performed on prognosis of 299 severe craniocerebral injury patients, all the patients were divided into two groups., hypotension group, containing 54 hypotension patients （18.1%）, and non-hypotension group, containing 245 patients. Results Of the hypotension group, 45 patients died, 2 patients disabled severely, 1 patient disabled slightly, 6 patients recovered. Of the non hypotension group, 98 patients died, 2 patients were in vegetative state, 7 patients disabled severely, 9 patients disabled slightly, 129 patients recovered. The mortality rate of hypotension group was double than that of non - hypotension group（P〈0.01）. Conclusion We can think hypotension as an index of predicting prognosis alone of severe craniocerebral injury, and we can correct hypotension as soon as possible in order to decrease secondary injury and improve prognosis of patients with severe craniocerebral injury.
出处
《中国煤炭工业医学杂志》
2008年第1期1-3,共3页
Chinese Journal of Coal Industry Medicine
关键词
重症脑损伤
低血压
颅内压
预后
severe brain injury
hypotension
intracranial pressure
prognosis
