文章摘要
刘洛同 酉建 周杰 明扬 陈礼刚△.急性严重颅脑外伤患儿预后的影响因素分析[J].,2014,14(33):6541-6543
急性严重颅脑外伤患儿预后的影响因素分析
A Study of Prognosis Influence Factors of Children with AcuteSevere Craniocerebral Injury
  
DOI:
中文关键词: 严重颅脑外伤  GSC  PCT  低血氧症
英文关键词: Severe craniocerebral trauma  GSC  PCT  Hypoxaemia
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作者单位
刘洛同 酉建 周杰 明扬 陈礼刚△ 泸州医学院附属医院神经外科 
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中文摘要:
      目的:探究影响急性严重颅脑外伤患儿预后的影响因素。方法:选取我院符合纳入标准128 名患儿,按照GOS评分分级,患 儿分为预后良好与预后较差组,分析比较两组患儿的血气分析、血液检查结果以及动态监测1、3、5、7d 的PCT 水平变化及GCS 评分。结果:128 例患儿中,预后较差组比预后良好组的入院1、3、5、7d 的GCS 评分低,入院后3、5、7d 的PCT 水平较高,经T检 验分析差异均有统计学意义。预后良好组的低氧血症率更低,经卡方检验差异有统计学意义。结论:低氧血症与急性严重颅脑外 伤有关,高水平的PCT 以及低GCS评分是其高危因素。
英文摘要:
      Objective:To explore the influence factors of the prognosis of children with acute severe craniocerebral trauma.Methods:According to GOS,128 children matched our inclusion criteria were divided into good and poor prognosis groups. Blood gas analysis, blood test results and the dynamic monitoring of 1, 3, 5, 7 d PCT level and the score of GCS were compared between the two groups of children.Results:In 128 cases, the GCS scores of good prognosis group was lower than those of bad prognosis group at 1, 3, 5, 7 d respectively, and the level of PCT was higher at 3, 5, 7 d respectively; The differences were statistically significant according to the T test analysis. Hypoxemia rate of good prognosis group was lower, the chi-square difference was statistically significant.Conclusion:oxygen concentration is associated with the acute severe craniocerebral injury, and high levels of PCT and low GCS score are the risk factors of severe craniocerebral trauma.
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