研究文章
创伤性脑损伤的临床特点和预后分析在巴布亚新几内亚
|
| 临床和放射学变量 |
可怜的结果(
) |
好的结果(
) |
价值 |
颅内感染(
) |
控制(
) |
价值 |
|
| 年龄(年) |
|
|
|
|
|
|
| ≤18 |
78例(29.5%) |
42 (33.6%) |
0.72 |
4 (17.4%) |
62例(30.7%) |
0.35 |
| 18 <年龄≤40岁 |
149例(56.5%) |
67例(53.6%) |
14 (60.9%) |
111例(55%) |
| 40 < |
37 (14.0%) |
16 (12.8%) |
5 (21.7%) |
29 (14.3%) |
| 男性/女性 |
220/44 (5.5/1) |
89/36 (2.2/1) |
0.01 |
19/4 (4.7/1) |
160/42 (3.8/1) |
0.70 |
| 创伤性脑损伤的机制 |
| 战斗和争吵 |
101例(38.3%) |
37 (29.7%) |
0.39 |
9 (39.1%) |
78例(38.6%) |
0.75 |
| 交通事故 |
79例(29.9%) |
42 (33.6%) |
9 (39.1%) |
62例(30.7%) |
| 秋天 |
66例(25.0%) |
29 (23.2%) |
5 (21.8%) |
53 (26.2%) |
| GCS |
| 温和的 |
50 (19.0%) |
36 (28.8%) |
0.02 |
0 |
18 (8.9%) |
0.02 |
| 温和的 |
78例(29.5%) |
43 (34.4%) |
4 (17.4%) |
78例(38.6%) |
| 严重的 |
136例(51.5%) |
46 (36.8%) |
19 (82.6%) |
106例(52.5%) |
| 多个创伤 |
136例(51.5%) |
38 (30.4%) |
< 0.01 |
15 (65.2%) |
148例(73.3%) |
0.41 |
| 瞳孔的大小 |
| 正常的 |
112例(42.4%) |
65例(52%) |
0.08 |
10 (43.5%) |
90例(44.6%) |
0.922 |
| 不正常的 |
152例(57.6%) |
60 (48%) |
13 (56.5%) |
112例(55.4%) |
| 瞳孔反应 |
| 正常的 |
62例(23.5%) |
41 (32.8%) |
0.09 |
5 (21.7%) |
54 (26.7%) |
0.85 |
| 无趣的 |
102例(38.6%) |
48 (38.4%) |
10 (43.5%) |
78例(38.6%) |
| 缺席 |
100例(37.9%) |
36 (28.8%) |
8 (34.8%) |
70例(34.7%) |
| 开放脑外伤 |
78例(29.5%) |
29 (23.2%) |
0.19 |
19 (82.6%) |
88例(43.6%) |
< 0.01 |
| 类型的脑损伤 |
| 挫伤,长官 |
27 (10.2%) |
26 (20.8%) |
0.04 |
0 |
0 |
0.90 |
| 戴 |
24 (9.1%) |
15 (12%) |
0 |
0 |
| 电火花强化 |
88例(33.3%) |
36 (28.8%) |
5 (21.7%) |
48 (23.8%) |
| SDH |
67例(25.4%) |
28 (22.4%) |
8 (34.8%) |
61例(30.2%) |
| SDH +挫伤+长官 |
58 (22.0%) |
20 (16.0%) |
10 (43.5%) |
93例(46.0%) |
| 鹿特丹CT评分 |
|
|
0.01 |
|
|
0.93 |
| 手术 |
148例(56.1%) |
77例(61.6%) |
0.30 |
- - - - - - |
- - - - - - |
|
| 入学时间(分钟) |
|
|
|
- - - - - - |
- - - - - - |
|
| 操作时间(分钟) |
|
|
|
|
|
|
| 颅内感染 |
18 |
5 |
0.04 |
- - - - - - |
- - - - - - |
|
| 排水浴缸 |
- - - - - - |
- - - - - - |
|
20 (87.0%) |
166例(82.2%) |
0.57 |
| 浴缸排水保持时间(小时) |
- - - - - - |
- - - - - - |
|
|
|
0.01 |
|
|
|
gc:格拉斯哥昏迷评分分数;戴:脑弥漫性轴索损伤;长官:蛛网膜下腔出血;SDH:硬脑膜下血肿;电火花强化:硬膜外出血。
|
