[1]徐勤义,毛芳芳,王 栋,等.双侧额叶挫裂伤病人的预后相关因素分析[J].中国临床神经外科杂志,2019,(04):211-213.[doi:10.13798/j.issn.1009-153X.2019.04.007]
 XU Qin-yi,MAO Fang-fang,WANG Dong,et al.Risk factors related to prognosis in patients with bilateral frontal contusion[J].,2019,(04):211-213.[doi:10.13798/j.issn.1009-153X.2019.04.007]
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双侧额叶挫裂伤病人的预后相关因素分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2019年04期
页码:
211-213
栏目:
论著
出版日期:
2019-04-27

文章信息/Info

Title:
Risk factors related to prognosis in patients with bilateral frontal contusion
文章编号:
1009-153X(2019)04-0211-03
作者:
徐勤义毛芳芳王 栋刘 俊孙呈国陆俊杰徐龙庆王玉海
214187 江苏,无锡市惠山区人民医院神经外科(徐勤义、王 栋、刘 俊、孙呈国、陆俊杰、徐龙庆);214000 江苏,无锡市梁溪区惠山街道社区卫生服务中心(毛芳芳);214114 江苏无 锡,中国人民解放军第101医院全军颅脑创伤中心(王玉海)
Author(s):
XU Qin-yi1 MAO Fang-fang2 WANG Dong1 LIU Jun1 SUN Cheng-guo1 LU Jun-jie1 XU Long-qin1 WANG Yu-hai3.
1. Department of Neurosurgery, the People’s Hospital of Huishan District, Wuxi City, Wuxi 214187, China; 2. Health Service Center, Huishan Street Community, Liangxi District, Wuxi City, Wuxi 214000, China; 3. Department of Neurosurgery, The 101st Hospital, PLA, Wuxi 214114, China
关键词:
双侧额叶挫裂伤预后颅内压监测危险因素
Keywords:
Traumatic bilateral frontal contusion Prognosis Risk factors Monitoring of intracranial pressure
分类号:
R 651.1+5
DOI:
10.13798/j.issn.1009-153X.2019.04.007
文献标志码:
A
摘要:
目的 探讨双侧额叶挫裂伤病人预后相关影响因素。方法 回顾性分析江苏省无锡市惠山区人民医院及解放军第101医院2010年12月至2016年12月收治的161例双侧额叶挫裂伤的临床资料。伤后6 个月,采用GOS评分评估预后,4~5分为预后良好,1~3分为预后不良。采用多因素Logistic回归分析筛选预后危险因素。结果 伤后6个月,预后良好118例,预后不良43例。多因素Logistic回归分析显示 入院时GCS评分低、脑肿胀、血肿进展、未行颅内压监测是预后不良的独立危险因素(P<0.05)。结论 对于双侧额叶挫裂伤,入院时GCS评分低、脑肿胀、血肿进展,预后往往不良,注意防治;颅内压监 测下的治疗有助于改善病人预后。
Abstract:
Objective To investigate the factors related to the prognosis in the patients with bilateral fontal contusions (BFC). Methods The clinical data of 161 patients with BFC who were treated from December, 2010 to December, 2016 were analyzed retrospectively. The factors related to their prognoses 6 months after BFC were analyzed by multivariate Logistic regression analysis. Results Of 161 patients with BFC, 118 had good prognosis and 43 pool prognosis according to GOS 6 months after the injury. The univariate factor analysis showed that the factors including the low GCS scores on admission to the hospital, brain swelling, progressive hematoma and no monitoring of intracranial pressures (ICP) were related to the poor prognosis. The multivariate analysis showed that the risk factors related to the prognosis included low GCS scores on admission to the hospital, brain swelling, progressive hematoma and no monitoring of ICP. Conclusion The low GCS scores on admission to the hospital, brain swelling, progressive hematoma are related to the poor prognosis in the patients with BFC, in whom the interventricular monitoring of ICP is helpful to the improvement of the prognosis.

参考文献/References:

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备注/Memo

备注/Memo:
(2018-07-18收稿,2018-09-28修回) 基金项目:无锡市卫生计生委课题(MS201610) 通讯作者:王 栋,E-mail:xuqinyi.2008@163.com 页码213+217
更新日期/Last Update: 2019-04-27