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目的探讨重型颅脑外伤患者术中发生低血压的原因及低血压对患者预后的影响。方法选取我院2012年1月-2013年6月间80例重型颅脑外伤患者,分析其发生低血压的原因及低血压对患者预后的影响。结果低血压组死亡率76.60%,恢复良好率2.13%;非低血压患者死亡率36.36%,恢复良好率51.52%,组间差异有统计学意义(P<0.05)。结论重型颅脑外伤患者术中出现低血压会明显增加死亡率,积极防治术中低血压可改善预后。
Objective To investigate the causes of hypotension and the effect of hypotension on the prognosis of patients with severe traumatic brain injury. Methods Eighty patients with severe traumatic brain injury in our hospital from January 2012 to June 2013 were selected to analyze the causes of hypotension and the effect of hypotension on the prognosis of patients. Results The mortality rate of hypotension group was 76.60%, and the recovery rate was 2.13%. The mortality rate of non-hypotensive patients was 36.36%, and the recovery rate was 51.52%. The difference between the two groups was statistically significant (P <0.05). Conclusion Severe craniocerebral trauma in patients with hypotension will significantly increase mortality, and prevention and treatment of intraoperative hypotension can improve the prognosis.