额颞部对冲性脑损伤手术治疗的相关危险因素研究

目的]探讨额颞部对冲性脑损伤手术治疗的相关危险因素研究。方法]选自某院2004年1月～2010年11月以来收入的共143例额颞部对冲性脑损伤患者,手术治疗中死亡患者分为死亡组(25例),未死亡者分为存活组(118例)。研究发现年龄、性别、出凝血、血小板计数、手术时间对额颞部对冲性脑损伤的预后并无影响,而既往史中的冠心病史、CT血肿量、手术时机及格拉斯哥昏迷评分(GCS评分)为影响额颞部对冲性脑损伤预后的危险因素。结果]存活组GCS为(10.6±2.3)分,死亡组为(7.3±1.8)分,两组对比差异有统计学意义,P≤0.05。存活组冠心病患者共21例(17.8%),死亡组7例(28%),两组对比差异有统计学意义,P≤0.05。存活组血肿量为(13.24±5.62)ml,死亡组为(19.47±6.73)ml,两组对比差异有统计学意义,P≤0.05。存活组急诊手术35例,死亡组17例,两组对比差异有统计学意义(P≤0.05)。存活组择期手术83例,死亡组8例,两组对比差异有统计学意义(P≤0.05)。结论本研究通过对额颞部对冲性脑损伤的相关危险因素研究中发现,既往有冠心病史、CT血肿量高、急诊手术患者以及格拉斯哥昏迷评分(GCS评分)分数较低者预后相对较差。

RESEARCH FOR RELATED RISK FACTORS OF FRONTOTEMPORAL FOR THE TREATMENT OF BRAIN INJURY SURGERY

Objective]To investigate the researches for the related risk factors of frontotemporal for the treatment of brain injury surgery.Methods]143 cases with hedge frontotemporal brain injury from January 2004 to November 2010 treated in our hospital were chosen as the research subjects.The patients were divided into the death group(25 cases)and the survivor group(118 cases).The study showed that age,sex,blood coagulation,platelet count and operative time had no effect for the hedge frontotemporal brain injury.And the past history of coronary heart disease,CT hematoma volume,timing of surgery and the Glasgow Coma Scale(GCS score)were the risk factors to affect the frontotemporal brain injury.Results]The GCS was 10.6 ± 2.3 points for the survival group,the death group was 7.3 ± 1.8 points.There were statistically significant differences for the two groups,P≤0.05.There were 21 cases(17.8%)with coronary artery disease for the survival group.The death group had 7 patients died(28%).There was a statistically significant difference compared by the two groups,P≤0.05.The hematoma volume of the survival group was(13.24 ± 5.62)ml,the death group was(19.47 ± 6.73)ml,there was a statistically significant difference compared by the two groups,P≤0.05.There were 35 cases with emergency surgery in the survived group,died 17 cases.Compared the two groups,there was a statistical difference,P≤0.05.There were 83 cases for elective surgery in the survival group,8 patients died.Compared the two groups,there was a statistical difference,P≤0.05.Conclusion]This study of frontotemporal brain injury related to hedge risk factors finds that the patients with low score of previous history of coronary artery disease,CT high hematoma,emergency surgery,and Glasgow Coma Scale(GCS score)have relatively poor prognosis.