Analysis of the influencing factors of pragressive hemorrhagic injury after traumatic brain Injury

VernacularTitle:脑外伤后进展性出血性损伤的影响因素分析
Author: Zhicheng XIN ; Liansheng LONG ; Jianzhong ZHANG ; Xialiang LI ; Zhaohui ZHAO ; Chao JIANG ; Qiang SU
Publication Type:Journal Article
Keywords: Traumatic brain injury; Progressive hemorrhagic injury; Subarachnoid hemorrhage
From: Clinical Medicine of China 2009;25(11):1183-1184
CountryChina
Language:Chinese
Abstract: Objective To investigate the influencing factors of progressive hemorrhagic injury (PHI) after traumatic brain injury. Methods The medical records of 127 patients with traumatic brain injury (n=49 in PHI group and n=78 in non-PHI group) were reviewed. The relationship between PHI and influencing factors including sex, age, Glasgow coma scale, time from injury to first CT, traumatic subaraehnoid hemorrhage (tSAH), prothrombin time(PT),activated partial thromboplastin time(APTT) was analyzed. Results The time for first CT was(1.39± 1.27) h in PHI group and (2.91±1.85) h in non-PHI group (t=2.14, P<0.05). 35 cases of PHI group developed tSAH and 37 of non-PHI group developed tSAH (χ2=7.06, P<0.05). Multifactor Logistic regression analysis showed that the time for first brain CT after injury and the patients accompanied with tSAH were associated with PHI after traumatic brain injury (OR=0.558,95 % CI 0.329-0.946, OR=13.000,95 % CI 1.187-142.354, P<0.05 for each). Conclusions Time from injury to first CT and tSAH can be prognostic factors for PHI.