儿童创伤性脑梗死恢复的影响因素以及死亡的危险因素探讨

发布时间：2018-07-08 17:54

本文选题：创伤性脑梗死 + 儿童　；参考：《临床神经病学杂志》2017年02期

【摘要】：目的探讨儿童创伤性脑梗死恢复的影响因素以及死亡的危险因素。方法对66例创伤性脑梗死患儿的临床资料进行回顾性分析。结果 66例创伤性脑梗死患儿中,死亡12例(18.2%),存活54例(81.8%),包括植物人状态6例(9.1%)。54例创伤性脑梗死存活患儿恢复时间的影响因素为大面积脑梗死、感染、复合伤(OR=2.903,OR=2.092,OR=2.859;均P0.05)。与创伤性脑梗死存活患儿比较,死亡患儿入院时GCS评分明显降低,大面积脑梗死、复合伤、低血压或休克、脑疝、癫痫的比例明显增加,脱水药物的使用尤其是大剂量使用的比例明显增加(均P0.05)。多因素Logistic回归分析发现,创伤性脑梗死患儿死亡的独立危险因素分别为入院时GCS评分降低、复合伤、低血压或休克(均P0.05)。结论影响儿童创伤性脑梗死恢复时间的因素为大面积脑梗死、感染、复合伤。入院时GCS评分低、复合伤、低血压或休克是儿童创伤性脑梗死死亡的独立危险因素。
[Abstract]:Objective to investigate the influencing factors and risk factors of death in children with traumatic cerebral infarction. Methods the clinical data of 66 children with traumatic cerebral infarction were retrospectively analyzed. Results among 66 children with traumatic cerebral infarction, 12 (18.2%) died and 54 (81.8%) survived. Among them, 6 cases (9.1%) of vegetative state and 54 cases of survival time of traumatic cerebral infarction were affected by large area cerebral infarction, infection and complex injury (OR2.903OR2.092OR2.859; all P 0.05). Compared with the surviving children with traumatic cerebral infarction, the GCS scores of the dead children were significantly lower at admission, and the proportion of large area cerebral infarction, complex injury, hypotension or shock, cerebral hernia and epilepsy were significantly increased. The proportion of dehydrated drugs used, especially in large doses, increased significantly (P0.05). Multivariate logistic regression analysis showed that the independent risk factors of death in children with traumatic cerebral infarction were decreased GCS score on admission, combined injury, hypotension or shock (P0.05). Conclusion the factors influencing the recovery time of traumatic cerebral infarction in children are large area cerebral infarction, infection and complex injury. Low GCS score, combined injury, hypotension or shock were independent risk factors for death in children with traumatic cerebral infarction.
【作者单位】：江西省赣州市人民医院神经外科;
【基金】：基金项目:赣州市指导性科技计划任务(GZ2016ZSF143)
【分类号】：R743.33;R726.5

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