Objective To invesligale ihe risk faclors for posloperalive hemaloma recurrence after evacuale of acule Iraumalic inlracerebral hemorrhage. Methods Clinical dala were collecled from 271 hospilalized palienls admiLLed Lo hospilal from Jan. 2007 Lo Apr. 2011, ihe relaled faclors for ihe posloperalive hemaloma recurrence after evacuation of acule Iraumalic inlracerebral hemorrhage were slalislically analyzed by univariale and mullivariale binary Logislic regression. Results 88 palienls had posloperalive hemaloma recurrence; 13 faclors such as coma, brain hernialion, brain contusion,midline shift > 1 cm, basal cislern compressed, posilive Babinsiki sign, hemaloma volume, GCS score, prealbumin, blood glucose, APTT, TT and operaling opportunity had significant difference(P <0. 05). By mullivariale analysis in which coma ( P = 0. 001, OR = 3. 116) , posilive Babinsiki sign ( P = 0. 002, OR =2.449) ,hemaloma volume(P = 0. 008 ,OR = 1. 017) and blood glucose (P = 0. 005 , OR = 1. 108) were ihe independenl risk faclors for posloperalive hemaloma recurrence. Conclusion Coma afler brain injury, posilive Babinsiki sign, huge hemaloma volume and hyperglycemia were risk faclors for ihe posloperalive hemaloma recurrence afler evacuation of acule Iraumalic inlracranial hemorrhage. Il is so necessary lo pay allenlion lo such palienls lhal we can give ihem close clinical moniloring and earlier intervention.%目的 探讨急性外伤性颅内血肿开颅术后再发血肿的危险因素.方法 收集2007-01 ~2011 -04我院收治的271例急性外伤性颅内血肿开颅术患者的住院病例资料,对相关因素进行单因素及多因素Logistic回归分析.结果 88例患者术后再发血肿;单因素Logistic回归分析表明,昏迷史、脑疝、脑挫伤、中线偏移>1 cm、基底池受压、Babinski征阳性、血肿量、GCS评分、前白蛋白、空腹血糖、APTT、TT及手术时机(13个因素)差异有统计学意义(P<0.05);多因素Logistic分析表明,昏迷史、Babinsiki征阳性、血肿量及空腹血糖为术后再发血肿的独立危险因素.结论 脑外伤后,昏迷、Babinsiki征阳性、血肿量大及高血糖是急性外伤性颅内血肿开颅术后再发血肿的危险因素,需引起重视并加强临床监测与干预.
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