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颅脑外伤患者去骨瓣减压术后早期颅内血肿进展的影响因素

任瑞涛 许俊华

国际神经病学神经外科学杂志2024,Vol.51Issue(1):24-29,6.
国际神经病学神经外科学杂志2024,Vol.51Issue(1):24-29,6.DOI:10.16636/j.cnki.jinn.1673-2642.2024.01.004

颅脑外伤患者去骨瓣减压术后早期颅内血肿进展的影响因素

Related factors for early intracranial hematoma progression in patients with traumatic brain injury after decompressive craniectomy

任瑞涛 1许俊华1

作者信息

  • 1. 鹤壁市人民医院神经外科,河南 鹤壁 458030
  • 折叠

摘要

Abstract

Objective To investigate the related factors for early intracranial hematoma progression in patients with traumatic brain injury.Methods A retrospective analysis was performed for 180 patients with traumatic brain injury who were treated in Hebi City People's Hospital from June 2018 to June 2022,and according to the presence or absence of early intracranial hematoma progression,they were divided into progression group with 54 patients and control group with 126 patients.A multivariate logistic regression analysis was used to investigate the influencing factors for early intracranial hematoma progression in patients with traumatic brain injury.Results The multivariate logistic regression analysis showed that multiple hematoma,preoperative hematoma volume≥20 cm3,and fibrinogen<2 g/L were risk factors for early intracranial hematoma progression in patients with traumatic brain injury(P<0.05).Conclusion Multiple hematoma,preoperative hematoma volume≥20 cm3,and fibrinogen<2 g/L are risk factors for early intracranial hematoma progression in patients with traumatic brain injury,and clinical monitoring should be strengthened for high-risk patients.

关键词

颅脑外伤/早期/血肿/进展/血肿量/纤维蛋白原

Key words

traumatic brain injury/early/hematoma/progression/hematoma volume/fibrinogen

分类

医药卫生

引用本文复制引用

任瑞涛,许俊华..颅脑外伤患者去骨瓣减压术后早期颅内血肿进展的影响因素[J].国际神经病学神经外科学杂志,2024,51(1):24-29,6.

国际神经病学神经外科学杂志

OACSTPCD

1673-2642

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