轻型颅脑外伤颅内并发症的危险因素的研究  

The Risk Factors of Intracranial Complications in Minor Head Injury: a Preliminary Study

作　　者：何仲恒 曹兆飞 钱明霞 郑巍 马周鹏[2] 

机构地区：[1]浙江省慈溪协和医院放射科,浙江省慈溪市315300 [2]温州医学院附属慈溪医院放射科,浙江省慈溪市315300

出　　处：《现代医用影像学》2013年第5期353-356,共4页Modern Medical Imageology

摘　　要：目的：探讨轻型颅脑外伤颅内并发症的危险因素。材料与方法：对390名符合纳入标准的颅脑外伤后24小时以内、格拉斯哥昏迷评分（GCS）为13—15分、年龄〉18岁的轻型颅脑外伤患者进行前瞻性观察研究，把患者临床表现作为自变量，CT显示的急性颅脑损伤作为因变量，进行单变量相关性分析，确定其颅内并发症的危险因素。结果：与颅内损伤相关性较强的临床表现为神经查体阳性（OR=23．158，P=0．000）、意识丧失（OR=20．745，P：0．000）、锁骨上瘀斑（R=19．979，P=0．0000）危险的外伤机制（OR=11．362，P=0．000）。结论：明确轻型颅脑外伤患者颅内并发症的危险因素，可以帮助临床医师客观评估患者情况，选取科学、合理的诊疗方案。Purpose： To investigate the risk factors of intracranial complications in Minor Head Injury （MHI）. Ma- terials and Methods： We prospectively studied 390 subjects with MHI; all patients were more than 18 years of age and were injured within 24 hours. All had 13 - 15 scores of Glasgow Coma Scale （GCS） during study. We took clinical findings as in- dependent variable and positive CT findings as dependent variable, and tested their associations to determine the risk factors of intracranial complications. Results ： The associated clinical findings with positive CT results were neurological deficit （ OR = 23. 158, P = 0. 000）, loss of consciousness（ OR = 23. 906, P = 0. 000） , evidence of supra-clavicles trauma （ R = 19. 979, P = 0. 0000） , serious injury （ OR = 11. 362, P = 0. 000. Conclusion ： We concluded the risk factors of intracranial compli- cations of MHI which can help clinicians to evaluate the MHI correctly and choose the appropriate measures.

关 键 词：颅脑外伤 并发症 危险因素 

分 类 号：R651.15[医药卫生—外科学]