急性外伤性颅内血肿开颅血肿清除术后继发血肿的相关因素分析

目的 探讨急性外伤性颅内血肿患者行开颅血肿清除术后继发血肿的相关危险因素.方法 回顾性分析我院126例行开颅血肿清除术急性外伤性颅内血肿患者的临床资料,单因素分析影响术后继发血肿发生的相关因素,多因素Logistic回归分析影响继发血肿发生的独立危险因素.结果 开颅血肿清除术后继发血肿发生率为19.05％.多因素Logistic回归分析表明:手术时机、血浆凝血酶时间、颅骨骨折为术后继发血肿的独立危险因素.结论 血浆凝血酶时间、手术时机、颅骨骨折是影响开颅血肿清除术后继发血肿发生的独立危险因素,临床中应采取相应的预防措施,以提高患者康复期间的治疗效果,降低继发颅内血肿的发生率.

Analysis of related factors of secondary hematoma of acute traumatic intracranial hematoma after hematoma removal by craniotomy

Objective To investigate the related factors of secondary hematoma of acute traumatic intracranial hematoma after hematoma removal by craniotomy.Methods Retrospectively analyzed clinical data of 126 patients with acute traumatic intracranial hematoma underwent hematoma removal by craniotomy in our hospital.Carried out single factor analysis of related factors of secondary hematoma,and multi-factor Logistic regression analysis of independent risk factors of secondary hematoma.Results The incidence of secondary hematoma after hematoma removal by craniotomy was 19.05％.Multi-factor Logistic regression analysis showed that operation opportunity,plasma thrombin time,and skull fracture were independent risk factors of secondary hematoma.Conclusion Operation opportunity,plasma thrombin time,and skull fracture are independent risk factors of secondary hematoma.We should take preventive measures to improve the treatment effect and reduce the incidence of secondary hematoma.