急性硬膜下血肿预后因素分析

目的 探讨CT征象、GCS评分、瞳孔变化、手术时机、血压、年龄、血糖、血白细胞计数和并发症对96例急性硬膜下血肿手术患者预后因素的影响。方法 对我科96例急性硬膜下血肿手术患者预后影响因素进行回顾性分析。结果 按COS标准，恢复良好46．9％，中度残疾9．4％，重度残疾6．3％，持续性植物生存5．2％，死亡32．2％。结论 CT征象、GCS评分、瞳孔变化、手术时机、血压、年龄、血糖、血白细胞和并发症是评价急性硬膜下血肿预后的可靠指标。及时、正确清除血肿，标准去骨瓣减压，维持正常血压，控制血糖和防治并发症，能有效改善急性硬膜下血肿患者预后，也是降低患者死残率的最有效措施。

Analysis of Acute Subdural Hematoma Prognosis Factors

Objective To discuss the effect of CT characteristics,Glasgow coma score(GCS),the change of pupilla,the time for operation,blood pressure(BP),age,blood glucose,WBC and complications on acute subdural hematoma(ASDH) prognosis factors.Methods The prognosis factors of 96 ASDH patients who admitted to our department were analyzed restrospectively.Results According to Glasgow Outcome Scale,45 cases (46.9%) had a good recovery,9 cases (9.4%)had a moderated disability,6 cases(6.3%)had a severe deficits,5 cases(5.2%) were living vegetatively,31 cases(32.2%) died.Conclusion It was an sound indicators to evaluate ASDH prognosis factors for CT characteristics,GCS,the change of pupilla,the time for operation,BP,age,blood glucose,WBC and complications.Early evacuation of intracranial hematoma with large decompressive cranietomies,maintain of systolic BP,normal level of blood glucose and treatment of complications could improve the prognosis of ASDH patients.It could be the effcetive methods for decreasing the mortality and morbidity.