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目的对重型颅脑损伤患者行开颅手术后发生迟发性颅内血肿的危险因素进行分析,以改善患者预后质量。方法 102例行开颅手术治疗的重型颅脑损伤患者,根据其术后是否发生迟发性颅内血肿分为迟发组(39例)和非迟发组(63例),对两组患者临床资料及术后情况进行监测和分析,采用多因素Logistic回归分析对开颅术后发生迟发性颅内血肿的危险因素进行分析。结果血浆凝血酶时间、颅骨骨折、发病至手术时间、Babinski征阳性是重型颅脑损伤患者行开颅手术后发生迟发性颅内血肿的独立影响因素(P<0.05)。结论对于出现这些因素的患者应给予早期预防治疗,通过这种方式可以有效促进迟发性颅内血肿发生率的降低。
Objective To analyze the risk factors of delayed intracranial hematoma after craniotomy in patients with severe craniocerebral injury to improve the prognosis quality. Methods A total of 102 patients with severe craniocerebral injury undergoing craniotomy were divided into delayed (39 cases) and non-delayed (63 cases) groups according to whether they had delayed intracranial hematoma or not. Two groups of patients Clinical data and postoperative monitoring and analysis of the situation, the use of multivariate logistic regression analysis of delayed craniotomy cranial hematoma risk factors were analyzed. Results Thrombin time, skull fractures, onset to operation time and Babinski sign positive were independent influencing factors of delayed intracranial hematoma after craniotomy in patients with severe craniocerebral injury (P <0.05). Conclusion Patients with these factors should be given early prevention and treatment, in this way can effectively promote the delayed incidence of intracranial hematoma reduction.