【摘要】 目的探讨儿童颅脑外伤(Children with brain trauma,CBT)的病死率和死亡因素,为制定防治措施提供理论依据。方法回顾分析522例CBT的临床资料,对患者的性别、年龄、伤因、伤情、入院时生命体征、血氧饱和度、合并伤及格拉斯哥昏迷计分(Glasgow coma scale,GCS)等指标进行统计分析。结果Logistic回归分析发现:患者入院时脉搏、血压和血氧饱和度独立地与死亡显著相关,帽状腱膜下血肿和呼吸道误吸是重要的潜在危险因素。结论儿童对失血耐受力差,创伤后脉搏快、血压低和血氧饱和度下降是影响CBT患者死亡的主要危险因素,针对相应病因及时纠正和保持呼吸、血压平稳,有望降低病死率。更多还原

【Abstract】 Objective To discuss the mortality and lethal factors of children with brain trauma(CBT)and to offer theoretic basis of treatment.Methods Clinical data of 522 cases of CBT,which included sex,age,cause of injury,type of injury,vital signs,saturation of blood oxygen,associated injury,Glosglow Come Scale(GSC) of patients etc ,were retrospectively analized.Results Pulse,bloob pressure and saturation of blood oxygen were significantly related to the mortality respectively.Subgalea hematoma and aspiration are important potential hazard.Conclusions Children are intolerable to the loss of blood.Rapid pulse, low blood pressure and decline of saturation of blood oxygen are major hazard which cause death.Improvement of respiration and maintenance of blood pressure could lower mortality of CBT.更多还原