摘要
目的分析急性中重型颅脑损伤患者继发脑梗死(TCI)的相关危险因素,制定针对性的预防对策。方法回顾性分析近两年来我院就诊并确诊为急性中重型颅脑损伤的患者300例,其中继发TCI的患者28例为观察组,其余272例患者为对照组,统计分析各因素对继发TCI发生的影响。结果单因素分析,年龄、GCS评分、蛛网膜下腔出血、脑疝、低血压和糖尿病是导致继发TCI发生的重要相关危险因素;多元Logistic回归分析,脑疝和低血压是导致继发TCI发生的独立危险因素(P<0.05)。结论临床应高度重视急性中重型颅脑损伤患者继发脑梗死的相关危险因素,降低血液粘稠度,密切监测颅内压,保持呼吸道通畅,及时补充血容量,减少继发TCI的发生。
Objective To explore the risk factors and countermeasures for patients who suffered from acute moderate / severe craniocerebral trauma secondary with cerebral infarction（ TCI）. Methods Totally 300 patientswho were diagnosed asacute moderate / severe craniocerebral trauma were included in this study,and 28 in the 300 patients secondary with TCI were chosen as observation group,the others were divided into control group. Analyse the risk factors which could leed to TCI. Results According to single factor analyse,Age,GCS score, subarachnoid hemorrhage,cerebral hernia,hypotension and diabetes were significantly related to TCI. Cerebral hernia and hypotension were independent risk factors for TCI according to logistic regression（ P 0. 05）. Conclusions In clinical treatment,we should attach great importance to the risk factors for TCI. To decrease the occurrence of TCI,we should reduce blood viscosity,monitor intracranial pressure,keep respiratory tract unobstructed and replenish blood capacity.
出处
《齐齐哈尔医学院学报》
2014年第3期346-348,共3页
Journal of Qiqihar Medical University
