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目的 :探究影响重型颅脑损伤术后迟发性颅内血肿预后的相关因素。方法 :选取2014年~2016年在本院脑外科行开颅手术的50例重型颅脑损伤患者作为研究对象。根据患者是否出现术后迟发性颅内血肿将患者分为对照组和研究组。对照组患者20例,研究组患者30例。对两组患者的相关影响因素进行对比分析,同时通过回顾性分析的方式探究迟发性颅内血肿预后的相关因素。结果 :两组患者在性别、年龄以及收缩压等方面对比差异无统计学意义。两组患者在发病至手术时间、GCS评分、Babinski征阳性、舒张压、血浆凝血酶时间以及颅骨骨折等方面对比差异具有统计学意义。另外,经过多因素回顾性分析,颅骨骨折、发病至手术时间、血浆凝血酶时间以及Babinski征阳性是诱发患者出现迟发性颅内血肿的独立因素。结论 :在影响重型颅脑损伤术后迟发性颅内血肿预后的影响因素中,颅骨骨折、发病至手术时间、血浆凝血酶时间以及Babinski征阳性是独立影响因素,对患者的生命安全带来了较大的隐患,医师需要根据实际情况,合理的进行干预,以便可以降低患者迟发性颅内血肿的发病率。
Objective: To explore the related factors that influence the prognosis of delayed intracranial hematoma after severe craniocerebral injury. METHODS: Fifty patients with severe craniocerebral injury who underwent craniotomy in our department from 2014 to 2016 were selected as the study subjects. According to whether patients with postoperative delayed intracranial hematoma will be divided into control group and study group. 20 patients in the control group and 30 patients in the study group. The relative factors of two groups of patients were compared and analyzed retrospectively to explore the prognosis of delayed intracranial hematoma related factors. Results: There was no significant difference in gender, age and systolic blood pressure between the two groups. There was significant difference between the two groups in incidence to operative time, GCS score, Babinski sign positive, diastolic blood pressure, plasma thrombin time and skull fracture. In addition, after multivariate retrospective analysis, cranial fracture, onset to operation time, plasma thrombin time and Babinski sign positive were independent factors inducing delayed intracranial hematoma in patients. CONCLUSION: Among the influencing factors of the prognosis of delayed intracranial hematoma after severe craniocerebral injury, the factors of skull fracture, incidence to operative time, plasma thrombin time and Babinski sign positive are independent influencing factors, which bring the life safety of patients A greater risk, the doctor needs to be based on the actual situation, reasonable intervention, in order to reduce the incidence of delayed intracranial hematoma patients.