[1]杨森源 陈俊琛 陈煜 李勇 赖润龙.重型颅脑损伤并发脑梗死的危险因素分析[J].中国临床神经外科杂志,2017,(10):695-697.[doi:10.13792017.09/j.issn.1009-153X.2017.10.008]
 YANG Sen-yuan,CHEN Jun-chen,CHEN Yu,et al.Risk factors for posttraumatic cerebral infarction in patients with severe brain injury[J].,2017,(10):695-697.[doi:10.13792017.09/j.issn.1009-153X.2017.10.008]
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重型颅脑损伤并发脑梗死的危险因素分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2017年10期
页码:
695-697
栏目:
论著
出版日期:
2017-10-25

文章信息/Info

Title:
Risk factors for posttraumatic cerebral infarction in patients with severe brain injury
文章编号:
1009-153X(2017)10-0695-03
作者:
杨森源 陈俊琛 陈煜 李勇 赖润龙
515041 广东汕头,汕头大学医学院第一附属医院神经外科
Author(s):
YANG Sen-yuan CHEN Jun-chen CHEN Yu LI Yong LAI Run-long.
Department of Neurosurgery, First Affiliated Hospital,Medical School, Shantou University, Shantou 515041, China
关键词:
重型颅脑损伤脑梗死危险因素
Keywords:
Severe traumatic brain injury Posttraumatic cerebral infarction Risk factors
分类号:
R 651.1+5
DOI:
10.13792017.09/j.issn.1009-153X.2017.10.008
文献标志码:
A
摘要:
目的探讨重型颅脑损伤并发脑梗死的危险因素,为临床诊治提供参考。方法回顾性分析2015年1月至2016年12月收治的符合标准的172例重型颅脑损伤的临床资料,采用多因素Logistic回归分析检验危险因素。结果172例中,44例并发脑梗死,128例无脑梗死。多因素Logistic回归分析表明脑疝、弥漫性脑肿胀、失血性休克是重型颅脑损伤并发脑梗死的独立危险因素。结论对于伴有脑疝、弥漫性脑肿胀、失血性休克的成人重型颅脑损伤,临床应注意防止脑梗死。
Abstract:
Objective To explore the risk factors for posttraumatic cerebral infarction (PTCI) in patients with severe traumaticbrain injury (sTBI). Methods The clinical data of 172 patients with sTBI treated from January, 2015 to December, 2016 were analyzedretrospectively. The risk factors for PTCI were analyzed by multivariate Logistic regression analysis. Results Of 172 patients with sTBI,44 developed PTCI and 128 not. Logistic regression analysis showed that brain herniation, diffuse brain swelling and hemorrhagic shockwere independent risk factors for PTCI. Conclusions The independent risk factors in the patients with sTBI for PTCI include the brainherniation diffuse brain swelling and hemorrhagic shock.

参考文献/References:

[1] 符锋,张赛. 神经创伤救治新进展[J]. 中华神经创伤外科电子杂志,2017,3(1):57-59.
[2] Tawil I, Stein DM, Mirvis SE, et al. Posttraumatic cerebralinfarction: incidence, outcome, and risk factors [J]. JTrauma, 2008, 64(4): 849-853.
[3] Garry PS, Ezra M, Rowland MJ, et al. The role of the nitricoxide pathway in brain injury and its treatment--frombench to bedside [J]. Exp Neurol, 2015, 263: 235-243.
[4] Muradashvili N, Lominadze D. Role of fibrinogen in cerebrovasculardysfunction after traumatic brain injury [J].Brain Inj, 2013, 27(13-14): 1508-1515.
[5] Chiba F, Makino Y, Motomura A, et al. Bilateral middlecerebral artery infarction associated with traumatic commoncarotid artery dissection: a case report and review of literature[J]. Forensic Sci Int, 2014, 236: e1-4.
[6] Hirata JI, Ohya M, Marukawa S, et al. Posttraumatic cerebralinfarction caused by hemodynamic shearing stress followinghemorrhagic shock [J]. Crit Care Shock, 2014, 17(1): 16-20.
[7] Tian HL, Geng Z, Cui YH, et al. Risk factors for posttraumaticcerebral infarction in patients with moderate or severehead trauma [J]. Neurosurg Rev, 2008, 31(4): 431-437.
[8] Sato M, Tanaka S, Kohama A, et al. Occipital lobe infarctioncaused by tentorial herniation [J]. Neurosurgery, 1986, 18(3): 300-305.
[9] Yoshino E, Yamaki T, Higuchi T, et al. Acute brain edemain fatal head injury: analysis by dynamic CT scanning [J]. JNeurosurg, 1985, 63(6): 830-839.
[10] 胡阳春,李玉明,向欣. 外伤性急性脑肿胀的诊疗研究[J]. 贵州医药,2005,29(7):667-669

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备注/Memo

备注/Memo:
作者单位:515041 广东汕头,汕头大学医学院第一附属医院神经外科(杨森源、陈俊琛、陈煜、李勇、赖润龙)通讯作者:赖润龙,E-mail:lairlong@sina.com
更新日期/Last Update: 1900-01-01