| 重型颅脑损伤死亡危险因素的分析 |
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| 引用本文： | 陈华文,祝伟,李树生,郑智. 重型颅脑损伤死亡危险因素的分析[J]. 中华急诊医学杂志, 2006, 15(3): 216-218 |
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| 作者姓名： | 陈华文 祝伟 李树生 郑智 |
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| 作者单位： | 430020,武汉,华中科技大学同济医学院附属同济医院ICU;430020,武汉,华中科技大学同济医学院附属同济医院ICU;430020,武汉,华中科技大学同济医学院附属同济医院ICU;430020,武汉,华中科技大学同济医学院附属同济医院ICU |
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| 摘 要： | 目的探讨重型颅脑损伤死亡的危险因素。方法回顾性分析150例重型颅脑损伤患者的临床资料。结果重型颅脑损伤总体病死率为38.7%,合并颅外器官损伤、早期低血压、早期低氧血症、高血糖以及高钠血症患者组死亡率明显增高(P<0.01)。结论合并器官损伤、早期低血压休克、早期低氧血症、高血糖、高钠血症是重型颅脑损伤死亡的主要危险因素。
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| 关 键 词： | 重型颅脑损伤 病死率 危险因素 |
| 收稿时间： | 2005-10-17 |
| 修稿时间： | 2005-10-17 |
Risk factors of severe craniocerebral injury |
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| CHEN Huawen,ZHU Wei,LI Shusheng,ZHENG Zhi. Risk factors of severe craniocerebral injury[J]. Chinese Journal of Emergency Medicine, 2006, 15(3): 216-218 |
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| Authors: | CHEN Huawen ZHU Wei LI Shusheng ZHENG Zhi |
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| Affiliation: | Intensive Care Unit, Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China |
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| Abstract: | Objective To explore the risk factors of severe craniocerebral injury.Methods One hundred and fifty patients with severe craniocerebral injury were studied retrospectively. All the patients were divided into groups according to different levels of serum sugar and sodium,whether complicated with extracerebral organ injury, early hypotension or early hypoxemia.The chi-square test was used to examine the mortality between these groups.Results The total mortality of severe craniocerebral injury was 38.7%.Patients complicated with extracerebral organ injury,early hypotension, early hypoxemia ,hyperglycemia, and hypernatremia had a higher mortality than others(P<0.01). Conclusion The main risk factors sever craniocerebral injury are extracerebral organ injury, early hypotension, early hypoxemia ,hyperglycemia and hypematremia. |
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| Keywords: | Severe craniocerebral injury Mortality Risk factors |
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