急性严重颅脑外伤患儿预后的影响因素分析  

A Study of Prognosis Influence Factors of Children with Acute Severe Craniocerebral Injury

作　　者：刘洛同[1] 酉建[1] 周杰[1] 明扬[1] 陈礼刚 

机构地区：[1]泸州医学院附属医院神经外科,四川泸州646000

出　　处：《现代生物医学进展》2014年第33期6541-6543,6565,共4页Progress in Modern Biomedicine

摘　　要：目的:探究影响急性严重颅脑外伤患儿预后的影响因素。方法:选取我院符合纳入标准128名患儿,按照GOS评分分级,患儿分为预后良好与预后较差组,分析比较两组患儿的血气分析、血液检查结果以及动态监测1、3、5、7d的PCT水平变化及GCS评分。结果:128例患儿中,预后较差组比预后良好组的入院1、3、5、7d的GCS评分低,入院后3、5、7d的PCT水平较高,经T检验分析差异均有统计学意义。预后良好组的低氧血症率更低,经卡方检验差异有统计学意义。结论:低氧血症与急性严重颅脑外伤有关,高水平的PCT以及低GCS评分是其高危因素。Objective： To explore the influence factors of the prognosis of children with acute severe craniocerebral trauma.Methods： According to GOS,128 children matched our inclusion criteria were divided into good and poor prognosis groups. Blood gas analysis, blood test results and the dynamic monitoring of 1, 3, 5, 7 d PCT level and the score of GCS were compared between the two groups of children. Results： In 128 cases, the GCS scores of good prognosis group was lower than those of bad prognosis group at 1, 3, 5,7 d respectively, and the level of PCT was higher at 3, 5, 7 d respectively; The differences were statistically significant according to the T test analysis. Hypoxemia rate of good prognosis group was lower, the chi-square difference was statistically significant. Conclusions： Low oxygen concentration is associated with the acute severe craniocerebral injury, and high levels of PCT and low GCS score are the risk factors of severe craniocerebral trauma.

关 键 词：严重颅脑外伤 GSC PCT 低血氧症 

分 类 号：R651[医药卫生—外科学] R726[医药卫生—临床医学]