脑挫裂伤后并发脑积水的危险因素分析.docVIP

精品论文 参考文献 脑挫裂伤后并发脑积水的危险因素分析 王远传 　　(川北医学院附属医院 四川 南充 637000) 　　【摘要】 目的：分析探讨脑挫裂伤后并发脑积水的危险因素。方法：选取2012年3月-2015年3月在我院接受脑挫裂伤治疗的172例患者，对其入院年龄、GCS评分、是否去骨瓣减压术、蛛网膜下腔出血、是否伴有脑室内出血的情况进行单因素分析和Logistic多元回归分析，探寻这些因素与脑积水并发症的关系。结果：172例患者中有22例患者发生脑积水，发生率为12.79%；年龄、脑室内出血、蛛网膜下腔出血是引起脑积水的独立危险因素。脑积水的发生与入院GCS评分和去骨瓣减压术无关。结论：脑挫裂伤后并发脑积水与年龄、蛛网膜下腔出血以及脑室内出血密切相关，临床治疗中可针对性采取预防措施，减少脑积水的发生。 　　【关键词】 脑挫裂伤；脑积水；危险因素 　　【中图分类号】R7651 【文献标识码】A 【文章编号】2095-1752（2015）23-0198-02 　　【Abstract】Objective: to analyze the risk factors of the complications of traumatic hydrocephalus after cerebral contusion. Methods: selected in March 2012 - March 2015 in our hospital 172 cases of cerebral contusion treated patients, their age, hospital admission GCS score and distribution to bone disc decompression, subarachnoid hemorrhage, is associated with intraventricular hemorrhage were analyzed by single factor analysis and Logistic multivariate regression analysis, and to found the relation of the complications of traumatic hydrocephalus with these factors. Results: 172 patients of 22 patients with hydrocephalus, rate of 12.79%; age distribution, intraventricular hemorrhage, and subarachnoid hemorrhage are independent risk factors for hydrocephalus, GCS score on admission and distribution to bone disc decompression has nothing to do with the complications of traumatic hydrocephalus. Discussion: age distribution,subarachnoid hemorrhage and intraventricular hemorrhage were closely related to the occurrence of hydrocephalus after cerebral contusion , in clinical treatment preventive measures should be taken deliberately to reduce the incidence of the complications of traumatic hydrocephalus. 　　【Key words】Cerebral contusion;Hydrocephalus; Risk factors 　　脑积水是一种常见的颅脑损伤并发症，可引起一系列神经系统功能障碍，严重影响患者的临床预后效果[1]。本文通过研究脑挫裂伤后脑积水发生的危险因素，以期为临床治疗提供一些借鉴。 　　1.资料与方法 　　1.1 一般资料 选取2012年3月-2015年3月在我院接受脑挫裂伤治疗的172例患者，其中男性患者128例，女性患者44例，年龄29岁-68岁，平均年龄41.3plusmn;10.7岁；84例患者因交通事故致伤，52例患者因坠落致伤，20例患者因钝器打击致伤，16例患者其他原因致