| 重型颅脑损伤并发脑梗死的危险因素分析 |
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| 引用本文： | 杨森源,陈俊琛,陈煜,李勇,赖润龙. 重型颅脑损伤并发脑梗死的危险因素分析[J]. 中国临床神经外科杂志, 2017, 0(10): 695-697. DOI: 10.13792017.09/j.issn.1009-153X.2017.10.008 |
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| 作者姓名： | 杨森源 陈俊琛 陈煜 李勇 赖润龙 |
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| 作者单位： | 汕头大学医学院第一附属医院神经外科,广东汕头,515041 |
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| 摘 要： | 目的探讨重型颅脑损伤并发脑梗死的危险因素,为临床诊治提供参考。方法回顾性分析2015年1月至2016年12月收治的符合标准的172例重型颅脑损伤的临床资料,采用多因素Logistic回归分析检验危险因素。结果 172例中,44例并发脑梗死,128例无脑梗死。多因素Logistic回归分析表明脑疝、弥漫性脑肿胀、失血性休克是重型颅脑损伤并发脑梗死的独立危险因素。结论对于伴有脑疝、弥漫性脑肿胀、失血性休克的成人重型颅脑损伤,临床应注意防止脑梗死。
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| 关 键 词： | 重型颅脑损伤 脑梗死 危险因素 |
Risk factors for posttraumatic cerebral infarction in patients with severe brain injury |
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| YANG Sen-yuan,CHEN Jun-chen,CHEN Yu,LI Yong,LAI Run-long.. Risk factors for posttraumatic cerebral infarction in patients with severe brain injury[J]. Chinese Journal of Clinical Neurosurgery, 2017, 0(10): 695-697. DOI: 10.13792017.09/j.issn.1009-153X.2017.10.008 |
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| Authors: | YANG Sen-yuan CHEN Jun-chen CHEN Yu LI Yong LAI Run-long. |
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| Abstract: | Objective To explore the risk factors for posttraumatic cerebral infarction (PTCI) in patients with severe traumatic brain injury (sTBI). Methods The clinical data of 172 patients with sTBI treated from January, 2015 to December, 2016 were analyzed retrospectively. The risk factors for PTCI were analyzed by multivariate Logistic regression analysis. Results Of 172 patients with sTBI, 44 developed PTCI and 128 not. Logistic regression analysis showed that brain herniation, diffuse brain swelling and hemorrhagic shock were independent risk factors for PTCI. Conclusions The independent risk factors in the patients with sTBI for PTCI include the brain herniation diffuse brain swelling and hemorrhagic shock. |
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| Keywords: | Severe traumatic brain injury Posttraumatic cerebral infarction Risk factors |
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