颅脑损伤开颅术中急性脑膨出患者院内死亡相关危险因素分析  

Analysis on the Risk Factors of Hospitalized Death of Patients with Acute Encephalocele During Craniotomy for Craniocerebral Injury

作　　者：梁其志 

机构地区：[1]江门市江海区人民医院神经外科,广东江门529080

出　　处：《临床医学工程》2017年第10期1469-1470,共2页Clinical Medicine & Engineering

摘　　要：目的分析颅脑损伤开颅术中出现急性脑膨出患者术后院内死亡的相关危险因素。方法选取2011年1月至2016年1月我院颅脑损伤开颅术中出现急性脑膨出患者96例为研究对象,根据术后患者的生存情况分为存活组和死亡组,分析患者术后院内死亡的相关危险因素。结果 96例患者中59例死亡,死亡率为61.46%;37例存活,存活率为38.54%。死亡原因:7例为颅内感染,35例为脑干功能衰竭,17例为多器官功能衰竭。死亡组与存活组患者在性别方面比较无统计学差异(P>0.05);死亡组与存活组在年龄、受伤至开颅时间、术前及术后GCS评分、术前及术后ICP评分、术前血糖及凝血功能、术后并发症、脑膨出原因等方面比较,差异有统计学意义(P<0.05)。结论颅脑损伤开颅术中急性脑膨出患者院内死亡可能与年龄、手术时机、血糖及凝血功能、脑膨出原因等因素相关,GCS、ICP评分越低,预后效果越差。Objective To analyze the risk factors of postoperative hospitalized death of patients with acute encephalocele during craniotomy for craniocerebral injury. Methods 96 cases of patients with acute encephalocele during craniotomy for craniocerebral injury in our hospital from January 2011 to January 2016 were selected as research objects. According to the postoperative survival situation, all cases were divided into the survival group and the death group, and the related risk factors of postoperative hospitalized death of patients were analyzed. Results Among 96 cases of patients, 59 cases died, with the death rate of 61.46%; 37 cases survived, with the survival rate of 38.54%. The causes of death included 7 cases ofintracranial infection, 35 cases of brain stem failure, and 17 cases of multiple organ failure. No statistical difference was found between the survival group and the death group in the gender （P 〉0.05）, while the survival group and the death group had statistical differences in the age, duration from injury to craniotomy, preoperative and postoperative GCS scores and ICP scores, preoperative blood glucose and coagulation function, postoperative complications, and causes of encephalocele （P〈0.05）. Conclusions The hospitalized death of patients with acute encephalocele during craniotomy for craniocerebral injury may relate to the age, operation timing, blood glucose and coagulation function, and causes ofencepbalocele. The lower the GCS score or ICP score, the poorer the prognosis.

关 键 词：颅脑损伤 开颅术 急性脑膨出 院内死亡 危险因素 

分 类 号：R651.11[医药卫生—外科学]