| 淡利军.急诊老年重型颅脑损伤死亡的影响因素分析.[J].中南医学科学杂志.,2016,(5):548-550. |
| 急诊老年重型颅脑损伤死亡的影响因素分析 |
| Analysis of Influence Factors on Death of Senile Patients with Severe Head Trauma in Emergency |
| 投稿时间：2016-03-30 修订日期：2016-05-26 |
| DOI： |
| 中文关键词: 重型颅脑损伤 老年 影响因素 logistic回归分析 |
| 英文关键词:severe head trauma senile influence factors logistic regression analysis |
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| 中文摘要: |
| 目的 探讨影响急诊老年重型颅脑损伤的因素。方法回顾性分析我院自2010年1月~2014年12月急诊收治的重型颅脑损伤的老年患者313例,其中因重型颅脑损伤死亡127例,采用单因素及多因素分析方法分析其其临床资料。结果单因素结果分析显示,年龄、血红蛋白(Hb)、体温(<36 ℃或>38.5 ℃)、ISS评分、GCS评分、损伤后时间、胸腹部联合损伤、休克为影响老年重型颅脑损伤死亡的因素(P均<0.05)。根据单因素分析结果,将P<0.05指标纳入多元logistic回归分析,结果显示Hb、ISS评分、GCS评分、损伤后时间、胸腹部联合损伤为老年重型颅脑损伤死亡的独立影响因素(P<0.05)。结论Hb低、ISS及GCS评分低、损伤后时间较长、胸腹部联合损伤是老年重型颅脑损伤患者死亡的独立影响因素。 |
| 英文摘要: |
| Objective To discuss the influence factors of senile patients with severe head trauma in emergency.Methods313 senile patients with severe head trauma in our hospital from January,2010 to December,2014 were analyzed retrospectively.There were 127 patients died from severe head trauma,their clinical factors were analyzed by single factor analysis and multiple-factor analysis.ResultsSingle factor analysis showed that age,Hb,body temperature (<36 ℃ or >38.5 ℃),ISS,GCS,the time of head trauma,combined with thoraco abdominal injury,and shock were influence factors of senile patients with severe head trauma in emergency (all P<0.05).According to the results of single factor analysis,the indicator P<0.05 were brought into multiple-factor analysis and the results showed that Hb,ISS,GCS,the time of head trauma,combined with thoraco abdominal injury were the independent influence factors for death of senile patients with severe head trauma (P<0.05).ConclusionLower Hb,lower scores of ISS and GCS,long time after head trauma,combined with thoraco abdominal injury were the independent influence factors for death of senile patients with severe head trauma. |
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