Objective To observe the risk factors for posttraumatic acute diffuse brain swelling (PADBS) in patients with traumatic brain injury .Methods Totally 98 patients with traumatic brain injury including 22 cases of PADBS patients (PADBS group) and 76 cases of patients without PADBS (control group) were analyzed retrospectively.The patients'age, gender , time from injury to the treatment and other risk factors were analyzed .The potential risk factors associated with PADBS in patients with traumatic brain injury were evaluated by the method of logistic regression .Results Binary condi-tional logistic regression analysis showed that the period of time before treatment ＞3 h (OR=2.36, P=0.018), hypoten-sion shock (OR=3.23, P=0.031) and primary brainstem injury (OR=3.69, P=0.025) were independent risk factors for PADBS in patients with traumatic brain injury .Conclusion The delayed treatment (the period of time before treatment＞3 h) , hypotension shock and primary brainstem injury were risk factors for PADBS .%目的 观察颅脑损伤后急性弥漫性脑肿胀的危险因素.方法 98例颅脑损伤患者,其中发生急性弥漫性脑肿胀者22例(病例组)、无急性弥漫性脑肿胀者76例(对照组).首先采用χ2检验分析两组患者年龄、性别、受伤至治疗时间等因素有无差异,对有统计学差异的变量纳入逻辑回归方程,采用二元Logistic回归方法 分析颅脑损伤后发生急性弥漫性脑肿胀的独立危险因素.结果 受伤至治疗时间＞3 h(OR=2.36,P=0.018)、低血压休克(OR=3.23,P=0.031)和原发性脑干损伤(OR=3.69,P=0.025)是颅脑损伤患者发生急性弥漫性脑肿胀的独立危险因素.结论 受伤至治疗时间＞3h、低血压休克和原发性脑干损伤是颅脑损伤后急性弥漫性脑肿胀的危险因素.
展开▼
