ICU重度颅脑损伤的致命因素分析  

Analysis of the Lethal Factors for ICU Patients with Severe Brain Injury

作　　者：杨红雨[1] 冯星火[1] 国丽娜[1] 

机构地区：[1]辽宁省人民医院ICU,辽宁沈阳110016

出　　处：《中国现代医生》2011年第31期144-145,148,共3页China Modern Doctor

摘　　要：目的观察分析重症监护病房(ICU)重度颅脑损伤的致命因素,为更好治疗疾病提供参考。方法对172例重症颅脑损伤的致命因素进行回顾性分析,了解其致命因素特点,从而寻找防治措施。结果 172例中死亡80例(46.5%)。其中致命因素尿崩21.2%(17/80),脑疝42.5%(34/80),应激性溃疡15%(12/80),肺部感染6.3%(5/80),放弃治疗15%(12/80)。将致命因素按入ICU时间(≤21d、>21d)分两组(除应激性溃疡及放弃治疗两个因素外),将其两两比较差异均有显著统计学意义(P<0.01)。结论 ICU重度颅脑损伤致命因素与脑原发病损伤程度密切相关,其预后差、生存率低。Objective To investigative the fatal factors for intensive care unit （ ICU ） patients with severe brain injury and provide many references for treating all kinds of diseases well. Methods To take a retrospective analysis on 172 cases of the fatal factors with severe brain injury, understanding those characteristics to found some measures with preventing and treatment. Results All gO cases （ 46.5% ） was dead in totally 172 cases. Among them, diabetes insipidus 21.2% （ 17/80 ）, Cerebral hemia 42.5% （ 34/80 ）, stress ulcer 15% （ 12/80 ）, pulmonary infection 6.3% （ 5/80 ）, refuse treatment 15% （ 12/80 ）. According the patient into ICU time （ ≤ 21d, 〉 21d ） make the fatal factors divided into two groups （ except the two factors： stress ulcer and refuse treatment ）. The expression of the two group showed the significant difference between them （P 〈 0.01 ）. Conclusion The fatal factor of severe brain injury in ICU is closely related to the strength of brain damage with original disease, poor prognosis and a low living rate.

关 键 词：重度颅脑损伤 致命因素 应激性溃疡 肺部感染 

分 类 号：R651.1[医药卫生—外科学]