影响颅脑创伤脑疝预后的因素及临床对策(附200例报告)  

Factors influencing the prognosis of traumatic cerebral hermiation and clinical strategy(Enclosed 200 cases herewith)

作　　者：武日富[1] 黄建军[1] 

机构地区：[1]大同煤矿集团公司总医院神经外科,山西大同037003

出　　处：《广州医药》2009年第3期11-14,共4页Guangzhou Medical Journal

摘　　要：目的研究影响颅脑创伤脑疝预后的诸多因素,并提出相应临床对策。方法对200例颅脑创伤脑疝患者在相关6种因素不同情况下的预后结果进行统计学分析处理。结果该6种因素均对其预后有显著性影响(P<0.05)。结论年龄越大,格拉斯哥昏迷评分(GCS)越低,脑疝形成时间越短;持续时间越长,其预后越差。伤后有中间清醒或好转期者较伤后持续昏迷者预后好,由硬膜外血肿继发者较硬膜下或脑内及多发血肿继发者预后好。Objective To study the factors influencing the prognosis of traumatic cerebral herniation and forward correcsponding strategy. Methods Six factors related to the prognosis of traumatic cerebral herniation were analysed statiscally. Results All of the factors have significant influence on the prognosis of traumatic cerebral herniation. Conclusion The older the age, the lower the GCS, the faster the formation of herniation and the longer the duration of herniation, the worse the prognosis. Those with interval lull or recovery of consiciousness have better prognosis than those with continuous coma. The prognosis of those caused by epidural hermatoma is better than caused by subdural or intracerebral or multiple hematoma.

关 键 词：颅脑损伤 脑疝 预后 对策 

分 类 号：R651.15[医药卫生—外科学] R737.9[医药卫生—临床医学]