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目的探讨影响颅脑交通伤患者发生进展性脑内血肿的相关因素。方法回顾性分析613例颅脑交通伤患者的临床资料。结果进展性脑内血肿患者80例,85%的患者多发生在24h以内。Spearman分析表明,进展性脑内血肿与格拉斯哥昏迷评分(GCS)呈负相关(P<0.05),与脑挫伤、硬脑膜外血肿、硬脑膜下血肿、脑内血肿及颅骨骨折呈正相关(P<0.05)。Logistic回归分析表明,脑挫伤、硬脑膜外血肿、硬脑膜下血肿、脑内血肿及颅骨骨折是进展性血肿的独立危险因素(P<0.05)。结论不同损伤程度的颅脑外伤患者均有可能发生进展性脑内血肿,严重脑外伤、有脑挫伤、硬脑膜外/下血肿、脑内血肿及颅骨骨折的患者更容易发生。
Objective To explore the related factors affecting progressive intracerebral hematoma in patients with craniocerebral trauma. Methods A retrospective analysis of 613 cases of traumatic brain injury in patients with clinical data. Results 80 patients with progressive intracerebral hematoma, 85% of patients occurred within 24 hours. Spearman analysis showed that progressive intracerebral hematoma was negatively correlated with Glasgow Coma Scale (GCS) (P <0.05), and was positively correlated with cerebral contusion, epidural hematoma, subdural hematoma, intracerebral hematoma and skull fracture (P < 0.05). Logistic regression analysis showed that cerebral contusion, epidural hematoma, subdural hematoma, intracerebral hematoma and skull fracture were independent risk factors for progressive hematoma (P <0.05). Conclusions Patients with craniocerebral trauma with different degrees of injury are more likely to develop progressive intracerebral hematoma, severe traumatic brain injury, with brain contusion, extradural / inferior hematoma, intracerebral hematoma and skull fracture.