格拉斯哥昏迷记分与高原脑水肿患者预后的关系  

The Relationship between Glasgow Coma Score (GCS) and Prognosis in Patients with High Altitude Cerebral Edema (HACE)

作　　者：郑建保[1] 李素芝[1] 王宇亮[1] 陈仕迅[1] 郑必海[1] 

机构地区：[1]西藏军区总医院高山病科,850007

出　　处：《高原医学杂志》2006年第1期13-15,共3页Journal of High Altitude Medicine

摘　　要：目的：探讨格拉斯哥昏迷记分法与高原脑水肿患者预后的关系。方法：分析高原脑水肿病历资料，用格拉斯哥昏迷记分法对所有病例进行首次评分，根据评分结果将高原脑水肿患者分为四组：Ⅰ组（GCS 13分～15分）56例，Ⅱ组（GCS9分～12分）36例，Ⅲ组（GCS6分～8分）25例，Ⅳ组（GCS3分～5分）7例；并对肾功能、治愈天数、死亡例数进行统计。结果：评分越低，病情越重，其肾功能损害的发生率越高。平均治愈天数也越长；第Ⅳ组（GCS3分～5分）7例患者中，死亡6例；第Ⅰ、Ⅱ、Ⅲ组无死亡病例。结论：用格拉斯哥昏迷记分法可以较准确地判断高原脑水肿患者的病情程度；格拉斯哥昏迷记分越低，患者的预后越差。Objective： To explore the relationship between GCS and prognosis in patients with HACE. Methods： To retrospectively analyze the data from 124 patients with HACE in our hospital. All the cases were first time scored with the standard of GCS. Dividing these patients into four groups according to GCS： Group Ⅰ （GCS 13～15） 56 cases, Group Ⅱ （GCS 9～12） 36 cases, GroupⅢ（GCS 6～8）25cases, GroupⅣ （GCS 3～5）7 cases; in the same time the renal function, the curing days and the mortality were studied. Results： The lower GCS, the more serious patient＇s condition, the high incidence of renal function damage and the longer average curing days; there were 6 dead cases in groupⅣ, and there were no dead cases in the other groups. Conclusions： The state of the patients with HACE can be exactly judged by GCS. The lower GCS has the worse prognosis in patients with HACE.

关 键 词：格拉斯哥昏迷记分 高原脑水肿 预后 

分 类 号：R594.3[医药卫生—内科学]