临床神经外科杂志2019，Vol.16Issue(4)：351-355,5.DOI:10.3969/j.issn.1672-7770.2019.04.015
急性硬膜下血肿术后继发脑梗死的危险因素分析
Risk factors of postoperative cerebral infarction after acute subdural hematoma surgery
摘要
Abstract
To investigate the risk factors of secondary cerebral infarction after acute subdural hematoma by collecting and analyzing clinical cases of acute subdural hematoma ( ASDH). Methods The total of 95 patients with ASDH underwent craniotomy evacuation of hematoma were analyzed retrospectively.The potential risk factors of PCI were analyzed by single-factor analysis and Logistic regression analysis.Results 29 patients had secondary cerebral infarction.The incidence rate of secondary cerebral infarction was 30.5%.Univariate chi-squares test was performed on 11 related indicators, such as gender, age, preoperative GCS, preoperative time, bilateral pupillary changes, basal cistern changes , cerebral hernia, ASDH volume, hematoma thickness, midline shift and perioperative blood pressure.Preoperative GCS, preoperative time, bilateral pupillary changes , basal cistern changes , cerebral hernia, ASDH volume, midline shift, and perioperative blood pressure were related to postoperative secondary cerebral infarction ( al P＜0.05 ).There was no statistical significance between gender , age and hematoma thickness.Multivariate Logistic regression analysis of the above 8 univariate factors showed that the morphology of CT basal cistern (P＝0.005, Odds Ratio, OR ＝4.606) and preoperative GCS score ( P ＝0.01, OR ＝3.026 ) had statistical value.Conclusions Preoperative GCS score , preoperative time, bilateral pupillary changes, basal cistern changes, cerebral hernia, ASDH volume, midline shift, and perioperative blood pressure are associated with postoperative secondary cerebral infarction after ASDH.Preoperative GCS score and basal cistern changes are independent risk factors for postoperative secondary cerebral infarction .关键词
急性硬膜下血肿/术后/脑梗死/危险因素Key words
acute subdural hematoma/postoperative/secondary cerebral infarction /risk factors分类
医药卫生引用本文复制引用
杨烈驰,谷佳,沈志刚,陈洪福,于如同..急性硬膜下血肿术后继发脑梗死的危险因素分析[J].临床神经外科杂志,2019,16(4):351-355,5.基金项目
国家自然科学基金(81772665) （81772665）
