CAJ | 학술논문

目的：分析探讨脑挫裂伤后并发脑积水的危险因素。方法：选取2012年3月-2015年3月在我院接受脑挫裂伤治疗的172例患者，对其入院年龄、G C S评分、是否去骨瓣减压术、蛛网膜下腔出血、是否伴有脑室内出血的情况进行单因素分析和Logistic多元回归分析，探寻这些因素与脑积水并发症的关系。结果：172例患者中有22例患者发生脑积水，发生率为12.79%；年龄、脑室内出血、蛛网膜下腔出血是引起脑积水的独立危险因素。脑积水的发生与入院GCS评分和去骨瓣减压术无关。结论：脑挫裂伤后并发脑积水与年龄、蛛网膜下腔出血以及脑室内出血密切相关，临床治疗中可针对性采取预防措施，减少脑积水的发生。
목적：분석탐토뇌좌렬상후병발뇌적수적위험인소。방법：선취2012년3월-2015년3월재아원접수뇌좌렬상치료적172례환자，대기입원년령、G C S평분、시부거골판감압술、주망막하강출혈、시부반유뇌실내출혈적정황진행단인소분석화Logistic다원회귀분석，탐심저사인소여뇌적수병발증적관계。결과：172례환자중유22례환자발생뇌적수，발생솔위12.79%；년령、뇌실내출혈、주망막하강출혈시인기뇌적수적독립위험인소。뇌적수적발생여입원GCS평분화거골판감압술무관。결론：뇌좌렬상후병발뇌적수여년령、주망막하강출혈이급뇌실내출혈밀절상관，림상치료중가침대성채취예방조시，감소뇌적수적발생。
Objective:to analyze the risk factors of the complications of traumatic hydrocephalus after cerebral contusion. Methods:selected in March 2012-March 2015 in our hospital 172 cases of cerebral contusion treated patients, their age, hospital admission GCS score and distribution to bone disc decompression, subarachnoid hemorrhage, is associated with intraventricular hemorrhage were analyzed by single factor analysis and Logistic multivariate regression analysis, and to found the relation of the complications of traumatic hydrocephalus with these factors. Results:172 patients of 22 patients with hydrocephalus, rate of 12.79%;age distribution, intraventricular hemorrhage, and subarachnoid hemorrhage are independent risk factors for hydrocephalus, GCS score on admission and distribution to bone disc decompression has nothing to do with the complications of traumatic hydrocephalus. Discussion:age distribution,subarachnoid hemorrhage and intraventricular hemorrhage were closely related to the occurrence of hydrocephalus after cerebral contusion , in clinical treatment preventive measures should be taken deliberately to reduce the incidence of the complications of traumatic hydrocephalus.