中重型颅脑损伤继发脑梗死相关危险因素分析

目的探讨中重型颅脑损伤患者继发创伤性脑梗死(TCI)的危险因素。方法回顾性分析574例中重型颅脑损伤患者的临床资料,比较性别、年龄、GCS、合并伤、脑疝、创伤性蛛网膜下腔出血(t-SAH)、颅骨骨折、低血压及脱水药物使用情况等因素对TCI发生的影响。结果本组574例中重型颅脑损伤患者中继发TCI53例。单因素分析显示,年龄、GCS、合并伤、脑疝、t-SAH、低血压与TCI发生有相关性(P<0.05或P<0.01);多因素Logistic回归分析结果表明,脑疝、低血压是TCI发生的独立危险因素(P<0.05或P<0.01)。结论年龄、GCS、合并伤、脑疝、t-SAH和低血压是TCI发生的重要危险因素,脑疝、低血压是TCI发生的独立危险因素。

Analysis of risk factors related to traumatic cerebral infarction in patients with moderate or severe craniocerebral injury

Objective To explore the risk factors related to the traumatic cerebral infarction (TCI).Method The clinical data of 574 patients with moderate or severe craniocerebral injury,who were treated from January,2006 to December,2009,were analyzed retrospectively,including patients sex,age,GCS,associated injury or not,cerebral hernia or not,traumatic subarachnoid hemorrhage or not (t-SAH),skull fracture or not,blood pressure,dosage of dehydrating agent and so on.Results TCI was found in 53 patients.Univariate ana...