摘要
目的 探讨影响颅脑损伤后脑内血肿进展的相关因素.方法 回顾性总结吉县人民医院2000年3月至2010年3月114例颅脑损伤后出现脑挫伤及脑血肿的患者资料,通过Logistic回归分析影响患者脑内血肿进展的相关危险因素.结果 颅脑损伤后脑内血肿进展的主要影响因素为：初始出血量、蛛网膜下腔出血、硬膜下血肿.而患者的瞳孔变化、GCS评分、头颅CT中线偏移程度、环池是否消失与手术密切相关.结论 颅脑损伤后患者头部CT显示合并出现蛛网膜下腔出血、硬膜下血肿或者出血量大,需要严密监测头部CT,如出现瞳孔变化、GCS评分降低、中线偏移或者环池消失提示手术的可能性增大.
Objective To investigate the factors associated with progression of parenchyma hematoma after craniocerebral injury.Methods The data of 114 patients in people＇ s hospital of Jixian who got traumatic parenchyma hematoma were retrospectively reviewed.The related factors of progression were analyzed by Logistic regression analysis.Results The main influence factors for the progression of the parenchyma hematoma were primary hematoma quantity and subarachnoid hemorrhage,subdural hematoma.The pupil change,lower GCS score,midline shift and effacement of basal cisterns were strongly associated with late surgical evacuation.Conclusions Traumatic parenchyma hematoma associated with subarachnoid hemorrhage,a subdural hematoma,or large initial size should be monitored carefully for progression with repeat head CT imaging.The pupil change,lower GCS score,midline shift and effacement of basal cisterns are strongly predictive factors of operative management.
出处
《中国实用医刊》
2013年第21期53-54,共2页
Chinese Journal of Practical Medicine
关键词
脑内血肿
进展
相关因素
Parenchymal hematoma
Progress
Related factors
