【摘要】 目的探讨创伤性基底节区出血(TBGH)的相关因素,为患者的预后判断提供依据。方法回顾性分析芜湖市第二人民医院神经外科自2016年1月～2019年5月收治的40例TBGH患者,根据患者术后预后情况分成预后良好组(22例)和预后不良组(18例)。分析相关因素对两组患者预后的影响。结果将性别、入院时间、入院时GCS评分、瞳孔情况、血肿程度、是否合并颅内其他部位脑组织损伤等相关因素与GOS评分进行相关性分析。结果显示,GOS评分与性别、入院时间、受伤原因比较,差异无统计学意义(P>0.05);与入院时GCS评分、瞳孔变化及血肿程度、颅内有其他损伤比较,差异有统计学意义(P<0.05)。结论入院时GCS评分低、瞳孔变化、基底节血肿量大及有其他脑组织损伤是TBGH患者的预后不良,在重型颅脑损伤患者中基底节区出血会加重患者病情及预后。更多还原

【Abstract】 Objective To investigate the related factors of traumatic basal ganglia hemorrhage and provide evidence for prognosis.Methods 40 patients with traumatic basal ganglia hemorrhage admitted to the Department of Neurosurgery of Wuhu Second People’s Hospital from January 2016 to May 2019 were retrospectively analyzed.According to the prognosis of the patients,they were divided into good group and poor group.The influence of related factors on the prognosis of the patients was analyzed.Results The correlation between GOS score,gender,admission time,GCS score,pupil change,hematoma size,and other brain tissue injury were analyzed.The results showed that there was no significant difference between GOS score,gender,time of admission and cause of injury (P>0.05),but there was significant difference between GOS score,GCS score,pupil changes,hematoma degree and other intracranial injuries (P<0.05).Conclusions Low GCS score,pupil changes,and large basal ganglia hematoma often indicate poor prognosis.Traumatic basal ganglia hemorrhage may aggravate the condition and prognosis of patients with severe craniocerebral injury.更多还原