CAJ | 학술논문

目的：探讨影响大骨瓣减压术治疗重型颅脑损伤预后的的相关因素。方法选择我院救良治的颅脑损伤大骨瓣减压术患者73例的临床资料进行回顾性分析，根据患者预后分为预后良好组和预后不良两组，分析影响患者预后的相关因素。结果多因素分析结果显示受伤至手术时间、GCS 6～8分、GCS 3～5分、瞳孔异常、术前中线移位、术前基地池形态、术前血糖是影响颅脑损伤患者大骨瓣减压术后预后的相关因素（P＜0.01）。结论影响大骨瓣减压术重型颅脑损伤患者预后的因素主要有受伤至手术时间、GCS 6～8分、GCS 3～5分、瞳孔、术前中线移位、术前基地池形态、术前血糖。
목적：탐토영향대골판감압술치료중형로뇌손상예후적적상관인소。방법선택아원구량치적로뇌손상대골판감압술환자73례적림상자료진행회고성분석，근거환자예후분위예후량호조화예후불량량조，분석영향환자예후적상관인소。결과다인소분석결과현시수상지수술시간、GCS 6～8분、GCS 3～5분、동공이상、술전중선이위、술전기지지형태、술전혈당시영향로뇌손상환자대골판감압술후예후적상관인소（P＜0.01）。결론영향대골판감압술중형로뇌손상환자예후적인소주요유수상지수술시간、GCS 6～8분、GCS 3～5분、동공、술전중선이위、술전기지지형태、술전혈당。
Objective To analyze influencing factors on prognosis of hemicraniectomy for severe traumatic brain injury. Methods The clinical data of 73 cases with severe traumatic brain injury were selected and retrospectively analyzed. All cases were divided into good prognosis group and poor prognosis group according to the prognosis of patients. Related factors on prognosis were analyzed. Results Multivariate analysis showed that injury to surgery time, GCS 6-8, GCS 3-5, abnormal pupil, preoperative midline shift, preoperative status of basal cisterns, preoperative blood sugar were influencing factors on prognosis of hemicraniectomy for severe traumatic brain injury (P < 0.01). Conclusion Influencing factors on prognosis of hemicraniectomy for severe traumatic brain injury are influencing factors on prognosis of hemicraniectomy for severe traumatic brain injury.