【摘 要】
：
目的:探讨迟发性外伤性颅内血肿(DTICH)的临床特点和预后.方法:对127例迟发性DTICH的临床及影像学资料进行回顾分析.结果:随访7d～3个月,死亡50例,植物生存28例,重残42例,中残43例,恢复良好64例.单因素分析显示减速伤(X2=178.84)、广泛脑挫伤(X2=21.76)、外伤性蛛网膜下腔出血(X2=103.51)、颅骨骨折(X2=50.65)、手术(X2=17.77)、术前低
【机 构】
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江苏大学附属宜兴市人民医院,214200
【出 处】
：
江苏省第十八次神经外科学学术会议暨第一届苏、浙、闽神经外科高峰论坛
论文部分内容阅读
目的:探讨迟发性外伤性颅内血肿(DTICH)的临床特点和预后.方法:对127例迟发性DTICH的临床及影像学资料进行回顾分析.结果:随访7d～3个月,死亡50例,植物生存28例,重残42例,中残43例,恢复良好64例.单因素分析显示减速伤(X2=178.84)、广泛脑挫伤(X2=21.76)、外伤性蛛网膜下腔出血(X2=103.51)、颅骨骨折(X2=50.65)、手术(X2=17.77)、术前低血压(X2=55.31)、术前凝血异常(X2=54.93)与迟发脑内血肿具有显著相关性(P＜0.05).Logistic回归单因素分析显示,入院GCS评分低、多发伤和并发肺炎是导致预后不良的因素.单因素分析显示,减速伤、广泛脑挫伤、外伤性蛛网膜下腔出血、颅骨骨折、手术、术前低血压、术前凝血异常均与迟发脑内血肿密切相关(P＜0.05).入院时GCS评分低、多发伤、肺损伤是导致DTICH患者预后差的主要相关原因.
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