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脑室出血术后死亡因素相关性分析 被引量:7

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摘要 目的探讨脑室出血手术后死亡的相关危险因素。方法我院2008-01—2010-06收治脑室出血患者150例,均在入院6h内行双侧侧脑室穿刺外引流术。对150例脑室出血手术患者的临床资料进行回顾性分析,采用SPSS13.0软件进行统计学处理。结果单因素分析显示与脑室出血术后死亡相关的因素有高龄、高血压、低GCS评分、弥漫性脑室内出血、术前并发梗阻性脑积水、术前凝血功能异常、术后中枢性高热和尿崩、术后并发消化道出血和肺部感染、术后引流时间≥7d(P<0.05或P<0.01)。多因素Logistic回归分析则表明与脑室出血术后死亡独立相关的因素包括术后中枢性高热、术前并发梗阻性脑积水(P<0.01)、术后外引流时间≥7d、术后并发肺部感染、高龄、低GCS评分、弥漫性脑室内出血及高血压病史(P<0.05)。结论脑室出血的一般情况及CT表现与死亡密切相关,积极防治术后各种并发症是降低术后病死率和改善预后的重要手段。
出处 《中国实用神经疾病杂志》 2013年第7期46-48,共3页 Chinese Journal of Practical Nervous Diseases
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参考文献9

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