Analysis of factors influencing progressive hemorrhagic injury after traumatic brain injury
Objective By comparing the relevant data of patients with traumatic brain injury,to find effective early warning factors for intracranial progressive hemorrhagic injury in clinic,so as to provide theoretical support for clinical intervention.Methods The clinical data of 90 patients with traumatic brain injury were analyzed.According to whether there was progressive intracranial hemorrhagic injury within 10 h after injury,they were divided into progressive group(n=38)and stable group(n=52).The abnormal rate of CT signs on admission,the time from onset to first CT after admission,gender,age,Glasgow coma score(GCS)score on admission,and abnormal rate of coagulation function were compared between the two groups,and the influencing factors of progressive hemorrhagic injury after traumatic brain injury were analyzed.Results In the progressive group,the rate of abnormal CT signs on admission was 76.3%,the age was(48.71±13.61)years,the abnormal rate of coagulation function was 73.7%,which were greater than 5.8%,(41.97±13.37)years,and 21.2%in the stable group;the time from onset to first CT after admission of(1.05±0.36)h was shorter than(1.58±0.54)h in the stable group;the GCS score on admission of(9.92±2.48)points was lower than(11.35±2.71)points in the stable group;the difference was statistically significant(P<0.05).With the occurrence of progressive hemorrhagic injury as the dependent variable and the related factors with statistically significant differences as the independent variables,multivariate Logistic regression analysis showed that abnormal CT signs on admission,age,GCS score on admission,and abnormal coagulation function were independent risk factors for the occurrence of progressive hemorrhagic injury after traumatic brain injury,and the time from onset to first CT after admission was an independent protective factor(P<0.05).Conclusion The occurrence of progressive hemorrhagic injury after traumatic brain injury may be the result of multiple factors,and clinical attention should be paid to various risk factors for predicting the occurrence of progressive hemorrhagic injury.
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