發(fā)布時間：2018-05-27 20:25

  本文選題：去骨瓣減壓術(shù) + 顱內(nèi)高壓　； 參考：《中國老年學(xué)雜志》2017年04期

【摘要】：目的探討影響重型顱腦損傷(TBI)去骨瓣減壓術(shù)(DC)預(yù)后的因素。方法分析112例TBI的臨床資料,采用格拉斯哥預(yù)后評分(GOSE)評估預(yù)后。評估的變量包括格拉斯哥昏迷評分(GCS)、入院瞳孔變化、中線結(jié)構(gòu)移位、顱內(nèi)病變數(shù)和入院-手術(shù)時間。結(jié)果傷后3個月病死率為38.4%。GCS 4~6分、瞳孔散大、中線結(jié)構(gòu)移位超過15 mm患者與預(yù)后不良密切相關(guān)(P0.05),入院-手術(shù)時間和顱內(nèi)病變數(shù)與預(yù)后不良無明顯相關(guān)。結(jié)論行DC的TBI中,年齡≥65歲、GCS 4~6分、瞳孔散大、中線結(jié)構(gòu)移位超過15 mm患者預(yù)后更差。
[Abstract]:Objective to investigate the prognostic factors of craniocerebral injury with craniocerebral injury (TBI). Methods the clinical data of 112 patients with TBI were analyzed and the prognosis was evaluated by Glasgow prognostic score (Glasgow). Variables evaluated included Glasgow coma scale GCSA, pupil changes, midline structural shift, number of intracranial lesions, and hospital-operation time. Results the fatality rate of 3 months after injury was 38.4%.GCS 4 ~ 6, pupil dilated, median structure shift more than 15 mm was closely related to poor prognosis (P0.05), hospitalization-operation time and the number of intracranial lesions had no significant correlation with poor prognosis. Conclusion in TBI patients with DC, the age 鈮，

本文編號：1943626