[1]张建忠,龙连圣,辛志成,等.中重型颅脑损伤并发脑梗死的危险因素分析[J].医学研究与战创伤救治(原医学研究生学报),2013,15(03):234-237.[doi:10.3969/j.issn.1672-271X.2013.03.009]
　ZHANG Jian-zhong,LONG Lian-sheng,XIN Zhi-cheng,et al.Risk factors for posttraumatic cerebral infarction in patients with moderate and severe head trauma[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2013,15(03):234-237.[doi:10.3969/j.issn.1672-271X.2013.03.009]
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中重型颅脑损伤并发脑梗死的危险因素分析()

《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第15卷
期数:
2013年03期
页码:
234-237
栏目:
出版日期:
2013-03-30

文章信息/Info

Title:
Risk factors for posttraumatic cerebral infarction in patients with moderate and severe head trauma
作者:
张建忠; 龙连圣; 辛志成; 李夏良; 赵朝晖; 蒋超超
313000 浙江湖州,解放军98医院神经外二科
Author(s):
ZHANG Jian-zhong; LONG Lian-sheng; XIN Zhi-cheng; LI Xia-liang; ZHAO Chao-hui; JINAG Chao-chao
Department of Neurosurgery,98 Hospital of PLA,Huzhou,Zhejiang 313000,China
关键词:
颅脑损伤; 外伤性脑梗死; 危险因素
Keywords:
brain injury;  posttraumatic cerebral infarction;  risk factors
分类号:
R651.15
DOI:
10.3969/j.issn.1672-271X.2013.03.009
文献标志码:
A
摘要:
目的 探讨中重型颅脑损伤后发生外伤性脑梗死(posttraumatic cerebral infarction,PTCI)的危险因素及临床意义。方法 通过对671例中重型颅脑损伤头颅CT扫描的表现比较,确定是否发生PTCI。分析PTCI组与非PTCI组患者在年龄、性别、入院时GCS评分、低血压、脑疝等相关因素差异,并采用Logistic回归分析PTCI发生的危险因素。结果 671例中,有51例(7.6%)发生PTCI。PTCI组与非PTCI组在入院时GCS评分、脑疝、致伤类型、低血压等差异具有统计学意义(P<0.05)。Logistic回归分析示PTCI与入院时GCS评分、脑疝、致伤类型、低血压等密切相关(P<0.05)。结论 伤后早期出现低GCS评分(<12)、脑疝、恶性脑肿胀、低血压是中重型颅脑损伤并发PTCI的危险因素。
Abstract:
Objective To investigate the risk factors related to posttraumatic cerebral infarction(PTCI)in patients with moderate and severe head trauma and analyze their clinical significance.Methods PTCI was validated by comparing repeat CT scans in all patients.Date including age,gender,Glasgow Coma Score(GCS)on admission,hypotension,cerebral hernia,traumatic category in both groups were compared with Logistic regression analysis to observe the risk factors related to PTCI.Results Of the 671 patients evaluated,51 cases(7.6%)developed PTCI.There was statistical difference in aspects of GCS on admission,hypotension,cerebral hernia,traumatic category in both groups(P<0.05).Logistic regression analysis showed that GCS on admission,hypotension,cerebral hernia and malignant cerebral swell were closely related to PTCI(P<0.05).Conclusion In early stage of brain injury,for patients with moderate and severe head trauma with low GCS on admission,hypotension,cerebral hernia and malignant cerebral swell may be more prone to developed PTCI.

参考文献/References:

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2013-05-20