本文選題：中重度顱腦損傷 + 急性腦梗死　； 參考：《牡丹江醫(yī)學(xué)院學(xué)報》2016年06期

【摘要】：目的分析中重度顱腦損傷繼發(fā)急性腦梗死的相關(guān)危險因素和預(yù)后。方法選取我院2011年1月至2016年1月收治的200例中重度顱腦損傷患者,根據(jù)有無繼發(fā)急性腦梗死分為觀察組和對照組,觀察組為25例繼發(fā)急性腦梗死患者,對照組175例患者未繼發(fā)急性腦梗死,探討中重度顱腦損傷繼發(fā)急性腦梗死的相關(guān)危險因素,以及對患者預(yù)后的影響。結(jié)果經(jīng)Logistic回歸分析,入院時GCS評分、腦疝、顱內(nèi)高壓、低血壓、DIC評分是中重度顱腦損傷繼發(fā)急性腦梗死的獨立危險因素;入院時GCS評分(3~5分)、低血壓、腦疝、感染、DIC評分(≥5分)、繼發(fā)急性腦梗死是顱腦損傷患者預(yù)后不良的獨立危險因素。200例患者經(jīng)治療后,GOS評分1分、2分、3分、4分、5分患者分別為8例、4例、22例、110例、56例,預(yù)后不良共34例。結(jié)論影響中重度顱腦損傷繼發(fā)急性腦梗死的因素較多,包括入院GCS評分、低血壓、顱內(nèi)高壓、腦疝、DIC評分。低血壓、腦疝、感染、繼發(fā)急性腦梗死、入院CGS 3~5分、DIC≥5分的患者大多預(yù)后不良,致殘率較高,臨床應(yīng)高度重視此類患者,制定合理的診斷和治療方案,從而減少預(yù)后不良,降低死亡率,提高治療效果。
[Abstract]:Objective to analyze the risk factors and prognosis of acute cerebral infarction secondary to moderate and severe craniocerebral injury. Methods from January 2011 to January 2016, 200 patients with moderate and severe craniocerebral injury were divided into observation group and control group according to the presence or absence of secondary acute cerebral infarction. The observation group consisted of 25 patients with secondary acute cerebral infarction. In the control group 175 patients without acute cerebral infarction (ACI) were studied to explore the risk factors associated with acute cerebral infarction secondary to moderate and severe craniocerebral injury and its influence on the prognosis of the patients. Results by Logistic regression analysis, GCS score, cerebral hernia, intracranial hypertension and hypotension score were independent risk factors for acute cerebral infarction secondary to moderate and severe craniocerebral injury, GCS score at admission was 3 ~ 5, hypotension, cerebral hernia. DIC score (鈮，

本文編號：1801882