Risk factors of traumatic arterial and venous cerebral infarction in patients with moderate or severe craniocerebral trauma
10.3760/cma.j.issn.1001-8050.2011.10.006
- VernacularTitle:中、重型颅脑创伤并发创伤性脑梗死的多因素分析
- Author:
Liansheng LONG
;
Zhicheng XIN
;
Weiming WANG
;
Jiyao JIANG
;
Zhaohui ZHAO
;
Xialiang LI
;
Jianzhong ZHANG
;
Chaochao JIANG
;
Qiang SU
;
Zhonghua WU
;
Hongmei ZHANG
- Publication Type:Journal Article
- Keywords:
Brian injuries;
Cerebralinfarction,traumatic;
Risk factors;
Cerebral superficial vein
- From:
Chinese Journal of Trauma
2011;27(10):881-885
- CountryChina
- Language:Chinese
-
Abstract:
Objective To provide theoretic support for preventing traumatic arterial and venous cerebral infarction after craniocerebral trauma by probing into the related risk factors.Methods The clinical data of 154 pateints with moderate or severe craniocerebral trauma treated by decompressive craniectomy were studied retrospectively.Univariate analysis was carried out on 13 related factors including gender,age,Glasgow Coma Score(GCS)on admission,pupil status,morphological changes of ambient cisterns,brain midline,associated injury,blood pressure,traumatic superficial cerebral veins injury,platelet count,plasma D-dimer value,dosage of dehydrating agent and perioperative fluid balance.Then,the logistic multiple regression analysis was made on significant indexes with SPSS 10.0.Results Univariate analysis showed that seven factors including pupil status,GCS on admission,age,associated injury,perioperative blood pressure,morphological changes of ambient cisterns and brain midline were significantly correlated with traumatic arterial cerebral infarction(P ＜ 0.05)and that three factors including traumatic superficial cerebral veins injury,plasma D-dimer value and associated injury were significantly correlated with traumatic venous cerebral infarction(P ＜ 0.05).Logistic multi-factors regression analysis showed that mydriasis and hypotension might be the independent risk factor of traumatic arterial cerebral infarction and that traumatic superficial cerebral veins injury might be the independent risk factors of traumatic venous cerebral infarction.Conclusion The pupil status,GCS on admission,age,associated injury,perioperative blood pressure,morphological changes of ambient cisterns and brain midline are the risk factors of traumatic arterial cerebral infarction,with mydriasis and hypotension as independent risk factors.Traumatic superficial cerebral veins injury,plasma D-dimer value and associated injury are the risk factors of raumatic venous cerebral infarction,with traumatic superficial cerebral veins injury as independent risk factor.
