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目的:研究影响脑外伤去骨瓣减压术后出现继发硬膜下积液合并脑积水的相关因素。方法:回顾分析萧山区中医院2011年1月-2015年5月因脑外伤而实施去骨瓣减压术术后因出现继发硬膜下积液合并脑积水而再次住院的96例患者的基本临床资料。回顾分析患者的基本临床资料数据,并分析硬膜下积液与脑积水的相关性。结果:年龄、入院GCS评分、中线位移均为影响硬膜下积液合并脑积水的单因素,差异均有统计学意义。其中入院GCS评分、脑室出血、年龄均为影响硬膜下积液合并脑积水的高危因素。经过Spearman相关性分析,脑积水与硬膜下积液表达呈正相关(r=0.613,P<0.05)。结论:影响脑外伤去骨瓣减压术后出现继发硬膜下积液合并脑积水的高危因素有入院GCS评分、脑室出血、年龄等,临床应给予针对性干预,从而降低继发硬膜下积液合并脑积水发生率,改善患者预后。
Objective: To study the related factors of secondary subdural hydrops and hydrocephalus after decompressive craniectomy of traumatic brain injury. Methods: A retrospective analysis of Xiaoshan District Hospital of Traditional Chinese Medicine from January 2011-May 2015 due to traumatic brain injury and implementation of cataract decompression surgery for secondary subdural effusion with hydrocephalus and hospitalized again in 96 patients The basic clinical data. Retrospective analysis of patients with basic clinical data, and analysis of subdural effusion and hydrocephalus correlation. Results: Age, admission GCS score and midline displacement were the single factors that affected the subdural effusion with hydrocephalus, the differences were statistically significant. The admission GCS score, ventricular hemorrhage, age are the risk factors of subdural effusion combined hydrocephalus. After Spearman correlation analysis, there was a positive correlation between hydrocephalus and subdural effusion (r = 0.613, P <0.05). Conclusion: The risk factors of secondary subdural hydrops and hydrocephalus after decompressive craniectomy with traumatic brain injury include admission GCS score, ventricular hemorrhage, and age. Clinical intervention should be given to reduce the secondary hard Subcoveal effusion combined hydrocephalus incidence and improve patient prognosis.