Clinical features and risk factors analysis of traumatic cerebral infarction in patients with craniocerebral trauma
10.3760/cma.j.cn115455-20230703-00727
- VernacularTitle:颅脑损伤患者并发创伤性脑梗死临床特点及危险因素分析
- Author:
Han ZHAO
1
;
Yixiong ZHU
;
Gang LI
Author Information
1. 三亚中心医院急诊科，三亚 572000
- Keywords:
Craniocerebral trauma;
Traumatic cerebral infarction;
Risk factors;
Prognosis
- From:
Chinese Journal of Postgraduates of Medicine
2024;47(2):112-116
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the risk factors, clinical features and prognosis of traumatic cerebral infarction in patients with craniocerebral trauma.Methods:The clinical data and follow-up data of 48 patients with craniocerebral trauma and traumatic cerebral infarction (observation group) and 132 patients with craniocerebral trauma without traumatic cerebral infarction (control group) admitted to the Sanya Central Hospital from January 2021 to January 2023 were retrospectively reviewed. Statistically significant risk factors were screened out by univariate analysis and Logistic regression analysis.Results:The results of univariate analysis showed that there were no significant differences in age, sex, skull fracture, traumatic subarachnoid hemorrhage and multiple injuries between the two groups ( P>0.05). There were statistical differences in midline displacement, herniation, diffuse brain swelling, decompression of the deboned flap, hemorrhagic shock, and admission Rotterdam CT score >3( P<0.05). The results of multivariate Logistic regression analysis showed that cerebral herniation, diffuse brain swelling and hemorrhagic shock were risk factors for traumatic cerebral infarction ( P<0.05). The higher the Rotterdam CT score, the higher the incidence of traumatic cerebral infarction. In the observation group, 11 cases had good prognosis and 37 cases had poor prognosis, with an average Glasgow Prognostic Scale (GOS) of (2.45 ± 1.22) points. In the control group, 74 cases had good prognosis and 48 cases had poor prognosis, with an average GOS of (3.69 ± 1.10) points. The difference in prognosis between the two groups was statistically significant ( P<0.05). Conclusions:Cerebral herniation, diffuse cerebral swelling and hemorrhagic shock are risk factors for traumatic cerebral infarction in patients with craniocerebral trauma, and the prognosis of patients complicated by traumatic cerebral infarction is worse.
