临床神经外科杂志Issue(4)：253-255,3.DOI:10.3969/j.issn.1672-7770.2015.04.004
闭合性重度颅脑损伤患者开颅术后颅内感染相关因素分析及对策
Risk factors and its stratagy related to intracranial infections in severe brain injury patients after craniotomy
摘要
Abstract
Objective To explore the risk factors related to the intracranial infection(ICI)in severe brain injury patients after craniotomy in order to provide the basis for its prevention and treatment.Methods The clinical data of 186 patients with ICI among 2088 severe brain injury patients who underwent a craniotomy from January 2008 to January 2014 in our department,were analyzed retrospectively.The significant risk factors shown by the single factor analysis(χ2 text )were analyzed by multivariate logistic regression analysis.Results The multivariate logistic regression analysis showed that the independent risk factors related to ICI after the craniotomy included external ventricular drainage(OR =5.687),cerebrospinal fluid leakage,more than 6 hours operative duration repeated operation,accompanied with diabetes mellitus,and GCS score <5(OR >1).Conclusion ICI in severe brain injury patients after the craniotomy related to a variety of risk factors and it may be reduced by targeted prevention.关键词
重度颅脑损伤/开颅术/颅内感染/预防Key words
severe brain injury/craniotomy/intracranial infection/prevention分类
医药卫生引用本文复制引用
李玉伟,雷燕妮,陈必耀,冯裕广,周冠华,王助衡..闭合性重度颅脑损伤患者开颅术后颅内感染相关因素分析及对策[J].临床神经外科杂志,2015,(4):253-255,3.基金项目
北京大兴区科技计划课题 （）
