重型颅脑损伤患者大骨瓣减压术后颅内出血相关因素的分析  

Analysis of Related Factors for Intercranial Hemorrhage after Decompressive Craniectomy of Patients with Severe Traumatic Brain Injury

作　　者：龚元梅 聂明珍[1] 

机构地区：[1]湖南省汉寿县人民医院,湖南汉寿415900

出　　处：《中国医学创新》2013年第15期143-145,共3页Medical Innovation of China

摘　　要：目的:探讨重型颅脑损伤患者大骨瓣减压术后并发颅内出血的相关因素,为改善大骨瓣减压术的预后提供依据。方法:对25例术后并发颅内出血的临床病例与同期手术未发生颅内出血的68例病例的年龄、合并疾病、伤情、凝血功能、手术技术、术后血压等因素进行调查和对照分析,并进行统计学处理。结果:年龄、伤情、凝血功能、手术技术、术后血压等因素与并发颅内出血具有相关性(P<0.05)。结论:年龄、伤情、凝血功能、手术技术、术后血压是术后并发颅内出血的常见危险因素。Objective： To exptore related factors for intercranial hemorrhage （ IH ） after decompressive craniectomy （ DC ） of patients with severe traumatic brain injury （ sTBI ） so that to improve prognosis of these patients provided clinic basis.Method： To survey and contrast analysis the factors of age, complication diseases, traumatic conditions, coagulation function, surgical technique and postoperative blood pressure in 25 patients with concurrent IH in postoperative and age, complication diseases, traumatic conditions, coagulatior~ function, surgical technique and postoperative blood pressure in 68 patients with no concurrent 1H in postoperative at the same period and then deal with statistics. Result： The factors of age, complication function, surgical technique and postoperative blood pressure were significantly correlated with postoperative IH （P〈0.05） .Conclusion： Age, complication diseases, traumatic conditions, coagulation function, surgical technique and postoperative blood pressure are common risk factors with postoperative concurrent.

关 键 词：重型颅脑损伤 大骨瓣手术 颅内出血 相关因素 

分 类 号：R651.15[医药卫生—外科学]