Related factors of traumatic brain injury combined with multiple injuries
10.3760/cma.j.issn.1671-8925.2013.08.015
- VernacularTitle:颅脑损伤合并多发伤的预后影响因素分析及急诊救治探讨
- Author:
Guo-Bing HUANG
1
;
Xue-Wu PAN
;
Sheng-Sheng CAO
;
Ying LIU
;
Bo-He LI
;
Long CAI
Author Information
1. 336000,江西省宜春市人民医院神经外科
- Keywords:
Traumatic brain injury;
Multiple injury;
Prognosis;
Influencing factor;
Comprehensive treatment
- From:
Chinese Journal of Neuromedicine
2013;12(8):819-822
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical features of craniocerebral injury combined with multiple injuries,and investigate the significance of severity index and its comprehensive treatments.Methods The clinical data of 123 patients with traumatic brain injury combined with multiple injuries,admitted to our hospital from September 2009 to September 2012,were collected.The relationships between survival rate and such factors as gender,age,systolic pressure,basic disease,operation treatment,GCS scores,ISS scores,injury time,platelet count,blood glucose level,brain injury combined with other injuries and complications were determined by univariate analysis and multivariate logistic regression analysis with SPSSl3.0.Results Logistic regression analysis revealed that systolic pressure ≤8.0 kPa,basic disease,GCS scores≤8,ISS scores ≥25,injury time,thoracic and abdominal injury and shock were independent prognostic factors of traumatic brain injury combined with multiple injuries.Conclusion The multiple injuries have various causes:the systolic pressure ≤ 8.0 kPa,basic disease,GCS scores≤8,ISS scores≥25,injury time,thoracic and abdominal injury and shock can be used to predict the severity of injury and prognosis; paying attention to the treatment of head injury is the key of successful treatment.
