摘要
目的调查脑外伤后进展性出血性损伤的发生率,分析其发生的危险因素。方法回顾性分析2009年6月至2011年6月本院收治的168例脑外伤患者。收集年龄、性别、入院时间、入院时GCS评分、蛛网膜下腔出血、中线移位、环池形态、瞳孔散大、急诊手术、首次CT时间、创伤严重程度评分和APACHEⅡ评分等资料。计算脑外伤后进展性出血性损伤的发生率,采用非条件多因素Logistic回归分析确定脑外伤后进展性出血性损伤发生的危险因素。结果 63例(37.5%)脑外伤患者发生进展性出血性损伤。多因素Logistic回归分析显示,蛛网膜下腔出血(OR=12.421,95%CI=1.263～42.715,P=0.001)和首次CT时间(OR=0.421,95%CI=0.263～0.715,P=0.002)是脑外伤后进展性出血性损伤发生的独立危险因素。结论脑外伤后进展性出血性损伤发生率较高,外伤性蛛网膜下腔出血和短时间内完成首次CT检查是脑外伤后进展性出血性损伤的独立危险因素。
Objective To investigate the incidence of progressive hemorrhagic injury after traumatic brain injury and analyze its risk factors. Methods 168 cases of traumatic brain injury patients admitted in our hospital from June 2009 to June 2011 were retrospectively analyzed. The age, gender, hospital stay, GCS score when admitted in hospital, subarachnoid hemorrhage, median line shifting, the shape of cisterna ambiens, mydriasis, emergency surgery, the first CT scanning time, the Injury Severity Score, APACHE II scores, etc. The incidence of progressive hemorrhagic injury after traumatic brain injury was calculated. The risk factors were determined by non-conditional multivariate Logistic regression analysis. Results The progressive hemorrhagic injury after traumatic brain injury was happened in 63 cases （37.5%）. The multivariate Logistic regression analysis demon- strated that subarachnoid hemorrhage （OR=12.421, 95% CI=1.263-42.715, P=0.001） and the first CT scanning time （OR=0.421, 95% CI=0.263-0.715, P=0.002） are the independent risk factors of the progressive hemorrhagic injury after traumatic brain injury. Conclusion The incidence of progressive hemorrhagic injury after traumatic brain injury is high. The subarachnoid hemorrhage and the first CT scanning time are the independent risk factors of the progressive hemorrhagic injury after traumatic brain injury.
出处
《浙江创伤外科》
2012年第3期289-291,共3页
Zhejiang Journal of Traumatic Surgery
关键词
脑外伤
进展性出血性损伤
发生率
危险因素
Traumatic brain injury
Progressive hemorrhagic injury
Incidence
Risk factor
