| 创伤性脑损伤后进展型颅内出血的相关因素 |
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| 引用本文： | 陈铁江,韩一生.创伤性脑损伤后进展型颅内出血的相关因素[J].中国现代医生,2013(33):31-33. |
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| 作者姓名： | 陈铁江 韩一生 |
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| 作者单位： | [1]浙江省义乌市中心医院急诊外科,浙江义乌322000 [2]第四军医大学西京医院全军创伤骨科,陕西西安710032 |
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| 基金项目： | 国家自然科学基金（30872634） |
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| 摘 要： | 目的探讨创伤性颅脑损伤后颅内进展型出血患者的临床特征，并分析其危险因素。方法选择创伤性颅脑损伤患者116例．根据是否出现颅内进展型出血分为进展性出血组和非进展性出血组。比较两组患者的年龄、受伤后首次CT的检查时间、昏迷评分、受伤到第二次CT检查的时间、凝血功能、首次CT和复查CT出血量等。采用统计学相关性分析方法分析进展性颅内出血的高危因素。结果患者年龄大、入院时GCS分数高、受伤到第一次CT时间短、D—D水平高、FDP水平高、PLT水平高、INR大是创伤性脑损伤后颅内进展型出血的危险因素（P〈0．05或〈0．01）。结论影响创伤性脑损伤后颅内进展型出血的危险因素较多，了解这些因素，做到积极预防和治疗，以降低对患者的危害，改善预后。
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| 关 键 词： | 创伤性颅脑损伤 进展型颅内出血 危险因素 |
Risk factors of progressive intracranial hemorrhages after traumatic brain injury |
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| Institution: | CHEN Tiejian HAN Yishen( 1.Emergency Surgery, Yiwu City Center Hospital of Zhejiang Province, Yiwu 322000, China;2. Orthopedic Trauma, Xijing Hospital, Fourth Military Medical University, Xi＇an 710032,China) |
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| Abstract: | Objective To discuss risk factors of progress in intracranial hemorrhages after traumatic brain injury. Methods Selected 116 cases with traumatic brain injury were divided into progress group and non-progress group ac- cording to progress in intracranial hemorrhages. Age, time of fist CT detection, GCS, time of second CT detection, coag- ulation function, amount of bleeding of results of first and second CT were compared. Results Elder, GCS on admission higher, time of fist CT detection shorter, level of D-D, FDP, PLT higher, INR bigger were risk factors of progress in in- tracranial hemorrhages after traumatic brain injury （P〈0.05 or 〈0.01 ）. Conclusion Risk factors of progress in intracra- niaJ hemorrhages after traumatic brain injury are many. To know there risk factors contributes to prevent and treat to improve prognosis. |
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| Keywords: | Traumatic brain injury Progress in intracranial hemorrhages Risk factors |
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