CAJ | 학술논문

目的通过对外伤性急性弥漫性脑肿胀的临床流行病学调查,探讨其相关危险因素及发病机制,为院前急救及后期救治提供依据.方法对54例外伤性弥漫性脑肿胀(病例组)与270例同期未发生外伤性弥漫性脑肿胀(对照组)患者的性别、年龄、受伤至入院时间、着力部位、误吸、低血压、高血压病史、原发脑干伤、合并多发伤、颅底骨折等因素进行病例对照研究.结果原发脑干伤、低血压、着力部位(枕部)、误吸、年龄等因素与外伤性弥漫性脑肿胀的发生密切相关.结论原发脑干伤、低血压、着力部位(枕部)、误吸是外伤性急性弥漫性脑肿胀的危险因素；高龄是外伤性急性弥漫性脑肿胀的保护因素.
목적 통과대외상성급성미만성뇌종창적림상류행병학조사,탐토기상관위험인소급발병궤제,위원전급구급후기구치제공의거.방법 대54예외상성미만성뇌종창(병례조)여270례동기미발생외상성미만성뇌종창(대조조)환자적성별、년령、수상지입원시간、착력부위、오흡、저혈압、고혈압병사、원발뇌간상、합병다발상、로저골절등인소진행병례대조연구.결과 원발뇌간상、저혈압、착력부위(침부)、오흡、년령등인소여외상성미만성뇌종창적발생밀절상관.결론 원발뇌간상、저혈압、착력부위(침부)、오흡시외상성급성미만성뇌종창적위험인소；고령시외상성급성미만성뇌종창적보호인소.
Objective To analyze the risk factors of posttraumatic acute diffuse brain swelling (PADBS),explore its pathogenesis,and provide the evidence of pre- hospital medical care and sequent treatment through the epidemiological survey.Method Gender,age,time from injured to enter to hospital,force position,aspiration,hypotension,history of hypertension,primary brainstem injury,united injury,the presence or absence of skull base fracture were recorded and analyzed in 54 PADBS patients ( study group) and 270 patients without PADBS.Results Primary brainstem injury,hypotension,force position,aspiration,and age were closely correlated with the occurrence of PADBS.Conclusions Primary brainstem injury,hypotension,force position,and aspiration are the risk factors for PADBS,and agedness is a protective factor for PADBS.