颅脑损伤后脑内血肿进展相关因素探讨.pdfVIP

主圄塞旦匡型!Q!!生!!旦笠箜鲞筮!!翅￡垡望箜!』壁坚旦堕堂堕型型M!堂堕塑盟型：兰!!!：!型：塑：型!：!! ·53· 颅脑损伤后脑内血肿进展相关因素探讨 李万林王平 【摘要】 目的探讨影响颅脑损伤后脑内血肿进展的相关因素。方法 回顾性总结吉县人民医院2000年3 月至2010年3月114例颅脑损伤后出现脑挫伤及脑血肿的患者资料，通过Logistic回归分析影响患者脑内血肿进 展的相关危险因素。结果颅脑损伤后脑内血肿进展的主要影响因素为：初始出血量、蛛网膜下腔出血、硬膜下血 颅脑损伤后患 肿。而患者的瞳孔变化、GCS评分、头颅cT中线偏移程度、环池是否消失与手术密切相关。结论 者头部CT显示合并出现蛛网膜下腔出血、硬膜下血肿或者出血量大，需要严密监测头部CT，如出现瞳孔变化、GCS 评分降低、中线偏移或者环池消失提示手术的可能性增大。 【关键词】 脑内血肿；进展；相关因素 Related of hematomaaftercraniocerebraluWan一 factorsof parenchynml mjury progression General Jixian，Jixian042200，China 航+，WANG只ng．+Departmentof Surgery，thePeople’sHospitalof To thefactorsassociatedwith of he— 【Abstract】Objectiveinvestigate progressionparenchyma matomaaftercraniocerebral Thedataof114 in ofJixian injury．Methods patientspeople’Shospital relatedfactorsof who traumatic hematomawere reviewed．The progression got parenchyma retrospectively factorsfor of were Themaininfluence the analyzedbyLogisticregressionanalysis．Results progression the hematomawere hematomaandsubarachnoid he— parenchyma primary quantity hemorrhage，subdural matoma．The GCS shiftandeffacementofbasalcisternswere score，midline strongly pupilchange，lower Traumatic hematomaassociatedwith associatedwithlate evacuation．Conclusions surgical parenchyma shouldbemonitored for subarachnoid subdural