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| Influencing factors for posttraumatic hydrocephalus in patients suffering from severe traumatic brain injuries | |
| 引用本文： | 焦庆芳 刘展 李松 周良学 李三中 田伟 游潮. Influencing factors for posttraumatic hydrocephalus in patients suffering from severe traumatic brain injuries[J]. 中华创伤杂志(英文版), 2007, 10(3): 159-162 |
| 作者姓名： | 焦庆芳 刘展 李松 周良学 李三中 田伟 游潮 |
| 作者单位： | [1]Department of Neurosurgery, West China Hospital,Sichuan University, Chengdu 610041, China [2]West China School of Public Health, Sichuan University,Chengdu 610041, China |
| 摘 要： | Objective： To detect the influencing factors for posttraumatic hydrocephalus in patients with severe traumatic brain injuries and provide theoretical reference for clinical treatment. Methods ： Retrospective study was made on 139 patients with severe traumatic brain injuries in our hospital. The patients were divided into two groups： hydrocephalus group and non-hydrocephalus group. Single factor analysis and multiple factor analysis were used to determine the related factors and hydrocephalus. Multiple factor analysis was conducted with logistic regression. Results： Posttraumatic hydrocephalus was found in 19.42% of patients. Age （ OR=1.050, 95% CI： 1.012-1. 090 ）, decompressive craniectomy （ OR =4.312, 95 %CI ： 1. 127-16.503 ）, subarachnoid hemorrhage （ OR = 43.421, 95 % CI ： 7. 835-240. 652 ） and continuous lumbar drainage of cerebrospinal fluid （ OR =0.045, 95%CI： 0. 011-0. 175） were screened out from nine factors as the influencing factors for posttraumatic hydrocephalus. Conclusions ： Risk factors for PTH are as follows： age, deeompressive eranieetomy and subaraehnoid hemorrhage （SAH）. Continuous lumbar drainage of eerebrospinal fluid can greatly reduce posttraumatic hydrocephalus. |
| 关 键 词： | 重症创伤性脑损伤 创伤后脑水肿 蛛网膜下腔出血 影响因素 |
| 收稿时间： | 2006-10-12 |
Influencing factors for posttraumatic hydrocephalus in patients suffering from severe traumatic brain injuries |
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| JIAO Qing-fang,LIU Zhan,LI Song,ZHOU Liang-xue,LI San-zhong,TIAN Wei,YOU Chao. Influencing factors for posttraumatic hydrocephalus in patients suffering from severe traumatic brain injuries[J]. Chinese journal of traumatology, 2007, 10(3): 159-162 | |
| Authors: | JIAO Qing-fang LIU Zhan LI Song ZHOU Liang-xue LI San-zhong TIAN Wei YOU Chao |
| Affiliation: | 1. Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu 610041, China 2. West China School of Public Health, Sichuan University, Chengdu 610041, China |
| Abstract: | OBJECTIVE: To detect the influencing factors for posttraumatic hydrocephalus in patients with severe traumatic brain injuries and provide theoretical reference for clinical treatment. METHODS: Retrospective study was made on 139 patients with severe traumatic brain injuries in our hospital. The patients were divided into two groups: hydrocephalus group and non-hydrocephalus group. Single factor analysis and multiple factor analysis were used to determine the related factors and hydrocephalus. Multiple factor analysis was conducted with logistic regression. RESULTS: Posttraumatic hydrocephalus was found in 19.42% of patients. Age(OR equal to 1.050, 95%CI: 1.012-1.090), decompressive craniectomy (OR equal to 4.312, 95%CI: 1.127-16.503), subarachnoid hemorrhage(OR equal to 43.421, 95%CI: 7.835-240.652) and continuous lumbar drainage of cerebrospinal fluid (OR equal to 0.045, 95%CI: 0.011-0.175) were screened out from nine factors as the influencing factors for posttraumatic hydrocephalus. CONCLUSIONS: Risk factors for PTH are as follows: age, decompressive craniectomy and subarachnoid hemorrhage (SAH). Continuous lumbar drainage of cerebrospinal fluid can greatly reduce posttraumatic hydrocephalus. |
| Keywords: | Brain injuries Hydrocephalus Subaraehnoid hemorrhage |
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