| 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 |
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| 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 |
| 基金项目: |
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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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