摘要
目的探讨中重型颅脑损伤患者继发创伤性脑梗死(TCI)的危险因素。方法回顾性分析574例中重型颅脑损伤患者的临床资料,比较性别、年龄、GCS、合并伤、脑疝、创伤性蛛网膜下腔出血(t-SAH)、颅骨骨折、低血压及脱水药物使用情况等因素对TCI发生的影响。结果本组574例中重型颅脑损伤患者中继发TCI53例。单因素分析显示,年龄、GCS、合并伤、脑疝、t-SAH、低血压与TCI发生有相关性(P<0.05或P<0.01);多因素Logistic回归分析结果表明,脑疝、低血压是TCI发生的独立危险因素(P<0.05或P<0.01)。结论年龄、GCS、合并伤、脑疝、t-SAH和低血压是TCI发生的重要危险因素,脑疝、低血压是TCI发生的独立危险因素。
Objective To explore the risk factors related to the traumatic cerebral infarction （TCI）.Method The clinical data of 574 patients with moderate or severe craniocerebral injury,who were treated from January,2006 to December,2009,were analyzed retrospectively,including patients sex,age,GCS,associated injury or not,cerebral hernia or not,traumatic subarachnoid hemorrhage or not （t-SAH）,skull fracture or not,blood pressure,dosage of dehydrating agent and so on.Results TCI was found in 53 patients.Univariate analysis showed that TCI was significantly related to patients＇ age,GCS,associated injury,cerebral hernia,t-SAH and hypotension （P 0.05 or0.01）.Logistic multi-factors regression analysis showed that cerebral hernia and hypotension were independent risk factors of TCI in the patients with moderate or severe craniocerebral injury （P 0.05 or0.01）.Conclusion The GCS,associated injury,cerebral hernia,t-SAH and hypotension were the risk factors of TCI and the cerebral hernia and hypotension were independent risk factors of TCI in the patients with moderate or severe craniocerebral injury.
出处
《中国临床神经外科杂志》
2011年第8期478-480,共3页
Chinese Journal of Clinical Neurosurgery
基金
南京军区医学科学研究"十一五"计划课题(NO.06MA14)
关键词
颅脑损伤
脑梗死
危险因素
Craniocerebral injury
Traumatic cerebral infarction
Risk factors
