影响双额脑挫伤临床恶化及预后的危险因素

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Abstract Objective To investigate the risk factors of clinical deterioration and post-traumatic outcomes in patients with bilateral frontal contusion.Methods Retrospective analysis was performed of the clinical data about patients with bilateral frontal contusion treated between March 2011 and March 2013. Clinical factors for analysis included age, gender, mechanisms of injury, Glasgow coma scale (GCS) and imaging information. Statistical analysis was performed to find the predictors of clinical deterioration. These patients were followed up for 1 year after injury.Glasgow outcome scale (GOS) was used to evaluate the clinical outcome and to analyze the factors that affected the prognosis of the patients.Results 112 patients with bilateral frontal contusion were enrolled in this study and 17 of them suffered clinical deterioration. 95 patients achieved good outcomes (GOS,Ⅲ-Ⅴ) while 15 patients did not recover favorably. Gender(P=0.0039), GCS scores (P=0.0063), compression of basal cisterns(P=0.0426), hematoma volume (P<0.0001) were significantly correlated with clinical deterioration. Additionally, age (P=0.0004), GCS (P=0.0424), suprasellar cistern compression (P=0.0047), hematoma volume (P<0.0001), SAH(P=0.0145)and clinical deterioration (P<0.0001) were obviously correlated with post-traumatic outcomes.Conclusions Comprehensive evaluations of CGS and imaging performance are important for predicting clinical deterioration and post-traumatic prognosis.

Key words： traumatic brain injury bilateral frontal contusions clinical deterioration outcome

Received: 11 May 2017

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	Articles by authors
	ZHANG Hua
	WANG Xiu
	YANG Anchao
	XU Long
	and LI Jingsheng

Cite this article:

ZHANG Hua,WANG Xiu,YANG Anchao等. Risk factors for clinical deterioration and post-traumatic outcomes in patients with bilateral frontal contusion[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2017, 28(9): 889-892.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2017/V28/I9/889

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