临床神经外科杂志2026，Vol.23Issue(1)：14-18,24,6.DOI:10.3969/j.issn.1672-7770.2026.01.003
1 128例交通性颅脑损伤临床特征及死亡因素分析
Clinical characteristics and risk factors for mortality in 1 128 cases of traffic-related traumatic brain injury
摘要
Abstract
Objective To explore the factors influencing the clinical prognosis of patients with traffic-related traumatic brain injury(TBI)and provide evidence for the clinical management of patients with traffic-related TBI.Methods The clinical data of 1 128 patients with traffic-related TBI from 28 medical institutions in Xinjiang in 2021 were analyzed retrospectively.Stepwise regression(forward method)was used to analyze the effects of various factors,including age,gender,and cause of trauma,on treatment outcomes(survival or death).Results The results of univariate analysis showed that the level of Glasgow coma scale(GCS)score,midline shift or not,emergency tracheal intubation or not,place of first admission,and surgery or not were correlated with the death of patients(P<0.05).Multivariate Logistic regression analysis showed that low GCS score(OR=7.811,95%CI=3.001-20.334),midline deviation(OR=3.905,95%CI=1.764-8.646),emergency endotracheal intubation(OR=7.314,95%CI=2.680-19.965),monitoring treatment required upon admission(OR=4.190,95%CI=1.412-12.429)were the risk factors of death,while surgical treatment(OR=0.242,95%CI=0.097-0.605)was the protective factor of death.Conclusions Patients with traffic-related TBI in Xinjiang have certain regional-specific clinical characteristics.Low GCS score,midline shift,endotracheal intubation,and monitoring treatment required upon admission are significant factors contributing to patient mortality.关键词
交通伤/颅脑损伤/临床特征/死亡率Key words
traffic-related injury/traumatic brain injury/clinical feature/mortality分类
医药卫生引用本文复制引用
李迪,汪永新,徐彬,刘博,夏平,秦虎..1 128例交通性颅脑损伤临床特征及死亡因素分析[J].临床神经外科杂志,2026,23(1):14-18,24,6.基金项目
新疆维吾尔自治区自然科学基金项目(2021D01C339) （2021D01C339）
