创伤性颅脑损伤继发静脉窦闭塞早期诊断的危险因素分析  

Analysis of risk factors in early diagnosis of secondary sinus occlusion in traumatic brain injury

作　　者：王保奇 闫军[2] 

机构地区：[1]陕西省延安市中医医院影像科,陕西延安716000 [2]陕西省延安大学附属医院影像科,陕西延安716000

出　　处：《临床医学研究与实践》2017年第33期14-15,共2页Clinical Research and Practice

摘　　要：目的分析创伤性颅脑损伤继发静脉窦闭塞的临床表现,总结诊断经验。方法选择2013年1月至2016年12月我院神经外科收治的创伤性颅脑损伤患者214例,将发生继发静脉窦闭塞患者纳入观察组,其余患者纳入对照组,进行危险因素分析。结果继发静脉窦闭塞发生率为26.2%(56/214),确诊时间为1~78 d,平均(3.4±6.1)d;术前确诊14例;GCS<6分、脑疝、窦区颅骨骨折、窦区硬膜外血肿、低血压为创伤性颅脑损伤继发静脉窦闭塞的独立危险因素(P<0.05)。结论创伤性颅脑损伤继发静脉窦闭塞早期诊断较困难,需特别关注早期意识障碍重、脑疝、窦区影像学表现异常及低血压者。Objective To analyze the clinical manifestations of secondary sinus occlusion in traumatic brain injury, and sum up the diagnosis experience. Methods From January 2013 to December 2016, 214 patients with traumatic brain injury admitted in department of neurosurgery in our hospital were selected. The patients with secondary sinus occlusion were enrolled in the observation group, the other patients were enrolled in the control group. The risk factors of secondary sinus occlusion in traumatic brain injury were analyzed. Results The incidence rate of venous sinus occlusion were 26.2%（56/214）,the time of diagnosis were 1-78 d, the average time was（13.4±6.1） d; 14 cases of patients were diagnosed before operation; the GCS 6, hernia, sinus skull fracture, sinus epidural hematoma and hypotension were independent risk factors of secondary sinus occlusion in traumatic brain injury（ P〈0.05）. Conclusion It is difficult to early diagnose the secondary sinus occlu sion in traumatic brain injury, so more attention should be paid to patients with early disturbance of consciousness, hernia, abnormal sinus imaging and hypotension.

关 键 词：颅内静脉窦 创伤性颅脑损伤 颅骨骨折 

分 类 号：R651.1[医药卫生—外科学]