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目的:研究影响高原脑水肿预后的主要因素。方法:对我院2001年1月—2004年12月间诊治的63例高原脑水肿患者进行分析,按进藏方式分为汽车组(36例)、飞机组(27例),按治疗预后情况分为治愈组(57例)及死亡组(6例),对发病时间、发病至入院诊治时间、意识障碍程度、并发症等进行对比分析。结果:汽车组与飞机组比较,发病至入院诊治时间长、意识障碍程度重、并发症多、预后差;治愈组与死亡组比较并发症少、意识障碍程度轻;平均发病时间差别无显著性。结论:进藏方式、发病至入院诊治时间、并发症是影响高原脑水肿预后的主要因素。
Objective: To study the main factors influencing the prognosis of cerebral edema in plateau. Methods: Sixty-three patients with high altitude brain edema diagnosed and treated between January 2001 and December 2004 in our hospital were divided into vehicle group (36 cases) and aircrew group (27 cases) according to the way of entering Tibet. According to the prognosis of treatment Divided into the cure group (57 cases) and the death group (6 cases), and compared the time of onset, the time from onset to admission, the degree of disturbance of consciousness, complications and so on. Results: Compared with the airplane group, the car group had longer diagnosis and treatment time, more serious disturbance of consciousness, more complications and poor prognosis. There was less complication and less disturbance of consciousness in the cure group and the death group. There was no significant difference in the average onset time . Conclusion: The way of admission to Tibet, the time from onset to admission for treatment and the complication are the main factors affecting the prognosis of cerebral edema in plateau.