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儿童创伤性脑梗死恢复的影响因素以及死亡的危险因素探讨

唐知己 张震宇 杨瑞金 黄乾亮 叶新运 张金石

临床神经病学杂志2017,Vol.30Issue(2):98-101,4.
临床神经病学杂志2017,Vol.30Issue(2):98-101,4.

儿童创伤性脑梗死恢复的影响因素以及死亡的危险因素探讨

Discussion on influencing factors of recovery and risky factors of death in children with traumatic cerebral infarction

唐知己 1张震宇 1杨瑞金 1黄乾亮 1叶新运 1张金石1

作者信息

  • 1. 341000 江西省赣州市人民医院神经外科
  • 折叠

摘要

Abstract

Objective To observe the influencing factors of recovery and the risky factors of death in children with traumatic cerebral infarction.Methods The clinical data of 66 children with traumatic cerebral infarction was retrospective analyzed.Results In the 66 children with traumatic cerebral infarction,12 cases (18.2%) were dead,54 cases (81.8%) were survived,including 6 cases (9.1%) with vegetative state.The influencing factors of recovery time in 54 cases survived children with traumatic cerebral infarction were large area of cerebral infarction,infection and compound injury (OR=2.903,OR=2.092,OR=2.859;all P<0.05).Compared with survived children,the GCS score at admitted to hospital was significantly decreased,and the rates of large area of cerebral infarction,compound injury,hypotension or shock,cerebral hernia and epilepsy were significantly increased,and the usage of dehydration drug especially high dosage was significantly increased (all P<0.05).Multivariate Logistic regression analysis showed that the independent risky factors of death in children with traumatic cerebral infarction were low GCS score at admitted to hospital,compound injury,hypotension or shock (all P<0.05).Conclusions The influencing factors of recovery time in children with traumatic cerebral infarction are large area of cerebral infarction,infection and compound injury.Low GCS score at admitted to hospital,compound injury,hypotension or shock are the independent risky factors of death in children with traumatic cerebral infarction.

关键词

创伤性脑梗死/儿童/影响因素/危险因素

Key words

traumatic cerebral infarction/children/influencing factors/risk factors

分类

医药卫生

引用本文复制引用

唐知己,张震宇,杨瑞金,黄乾亮,叶新运,张金石..儿童创伤性脑梗死恢复的影响因素以及死亡的危险因素探讨[J].临床神经病学杂志,2017,30(2):98-101,4.

基金项目

赣州市指导性科技计划任务(GZ2016ZSF143) (GZ2016ZSF143)

临床神经病学杂志

OACSTPCD

1004-1648

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