重型颅脑损伤去骨瓣减压术预后的影响因素

发布时间：2018-05-27 20:25

  本文选题：去骨瓣减压术 + 颅内高压　； 参考：《中国老年学杂志》2017年04期

【摘要】：目的探讨影响重型颅脑损伤(TBI)去骨瓣减压术(DC)预后的因素。方法分析112例TBI的临床资料,采用格拉斯哥预后评分(GOSE)评估预后。评估的变量包括格拉斯哥昏迷评分(GCS)、入院瞳孔变化、中线结构移位、颅内病变数和入院-手术时间。结果伤后3个月病死率为38.4%。GCS 4~6分、瞳孔散大、中线结构移位超过15 mm患者与预后不良密切相关(P0.05),入院-手术时间和颅内病变数与预后不良无明显相关。结论行DC的TBI中,年龄≥65岁、GCS 4~6分、瞳孔散大、中线结构移位超过15 mm患者预后更差。
[Abstract]:Objective to investigate the prognostic factors of craniocerebral injury with craniocerebral injury (TBI). Methods the clinical data of 112 patients with TBI were analyzed and the prognosis was evaluated by Glasgow prognostic score (Glasgow). Variables evaluated included Glasgow coma scale GCSA, pupil changes, midline structural shift, number of intracranial lesions, and hospital-operation time. Results the fatality rate of 3 months after injury was 38.4%.GCS 4 ~ 6, pupil dilated, median structure shift more than 15 mm was closely related to poor prognosis (P0.05), hospitalization-operation time and the number of intracranial lesions had no significant correlation with poor prognosis. Conclusion in TBI patients with DC, the age 鈮，

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