外伤性进展性脑内血肿的相关危险因素分析  

Analysis of the Correlative Risk Factors of Progressive Traumatic Intracerebral Hematoma

作　　者：陈钫[1] 谢薇[1] 

机构地区：[1]成都市龙泉驿区第一人民医院神经外科,四川成都610100

出　　处：《医学临床研究》2013年第4期737-738,共2页Journal of Clinical Research

摘　　要：【目的】探讨分析外伤性进展性脑内血肿（PTICH）的相关危险因素。【方法】回顾性分析2010年5月至2012年5月于本院接受治疗的外伤性脑内血肿患者，排除入院后立即进行手术及死亡患者，共72例。分析GCS评分、中线偏移度以及凝血机制与PTICH的相关性。【结果】患者入院时GCS评分越低，进展为PTICH的几率越高（P〈0．05）。入院后首次CT扫描显示中线结构偏移患者，进展为PTICH的几率高于无中线结构偏移患者（P〈O．05）。存在凝血机制障碍的患者，进展为PTICH的几率高于无凝血机制障碍患者（P〈0．05）。【结论】PTICH的发生与GCS、中线偏移度以及凝血机制障碍存在密切的相关性，完善GCS评分，加强常规动态cT普查，监测凝血机制变化可提高PTICH的确诊率。[Objective]To explore the correlative risk factors of progressive traumatic intracerebral hema- toma（PTICH）. [Methods] A total of 72 PTICH patients treated in our hospital from May 2010 to May 2012 excluding patients undergoing surgery immediately after admission and dead patients were analyzed retrospec- tively. The relationship of GCS score, midline shift degree and coagulation mechanism with PTICH was ana- lyzed. [Results] The lower the GCS score of patients at admission, the higher the occurrence of PTICH in pa- tients（ P （0.05）. The occurrence of PTICH in patients with midline shift showed by first CT scanning after admission was higher than that of patients without midline shift（ P （0.05）. The occurrence of PTICH in pa- tients with coagulation disorders was higher than that in patients without coagulation disorders（ P （0.05）. [Conclusion] The occurrence of PTICH is closely correlated with GCS, midline shift degree and blood coagula- tion disorders. Improving GCS score, enhancing routine dynamic CT examination and monitoring the change of blood coagulation can increase the definite diagnosis rate of PTICH.

关 键 词：脑出血 病因学 危险因素 

分 类 号：R743.34[医药卫生—神经病学与精神病学]