Analysis of prognostic determinants and clinical treatment strategy with severe trauma brain injury
10.3969/j.issn.1671-8348.2013.22.020
- VernacularTitle:重型颅脑损伤的预后影响因素分析及临床救治策略
- Author:
Jin ZHOU
;
Qiang LIU
;
Huangyong LIU
;
Yi YAN
- Publication Type:Journal Article
- Keywords:
severe trauma brain inj ury;
prognosis;
clinical treatment strategies;
multidisciplinary cooperation treatment
- From:
Chongqing Medicine
2013;(22):2621-2623
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the prognostic determinants and clinical treatment strategy in 142 patients with severe trauma brain injury(STBI).Methods Retrospective analysis of clinical data of 142 patients with STBI in our department from April 2006 to April 2012.All the patients were divided into good prognosis group(Ⅲ~V grade)and poor prognosis group(I~Ⅱgrade)ac-cording to the GOS classification standard.Age,gender,GCS,encephalocele,morphotogy of the basal cisterns on CT scanning,asso-ciated inj ury,shock,hyoxemia,underlying disease and hyperglycemia were chosen as the observation index.Statistical analysis was performed with Pearson Chi-square Test.Results 52.11% of patients with good prognosis,47.89% of patients with poor progno-sis and 3 1 .6 9% of patients were dead.Age,GCS,encephalocele,morphotogy of the basal cisterns on CT scanning,associated inj ury, shock,underlying disease were the prognostic determinants of STBI(all results P<0.05).Conclusion Age,GCS,encephalocele, morphotogy of the basal cisterns on CT scanning,associated inj ury,shock,underlying disease can determine the prognosis of STBI. Multidisciplinary cooperation treatment depending on the patient′s conditions is the key of improving the outcomes of STBI.
