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在为急性外周膜血瘤进行手术的患者中,死亡率和预后因素

Shah Khalid¹, Shahbaz Ali Khan², Tariq Abbasi³

¹Neurosurgery Department Aga Khan University Hospital Karachi-Pakistan.

Journal of Ayub Medical College, Abbottabad : JAMC

|February 26, 2024

概括

对于创伤性内外皮质血瘤的早期手术干预可以改善结果. 女性性别,低GCS和延迟手术等因素预测发展中国家的预后不佳.

科学领域:

神经外科神经外科
创伤外科手术创伤外科
公共卫生公共卫生

背景情况:

创伤性内外围血瘤是一种常见的神经外科紧急情况.
本研究在资源有限的环境中研究死亡率和预后因素.

研究的目的:

为了确定创伤性内外皮质血瘤的死亡率.
确定影响发展中国家结果的预后因素.

主要方法:

对116名因创伤性外围血瘤而手术的患者进行了回顾性审查.
收集的人口统计数据,格拉斯哥昏迷量表 (GCS),相关病变和手术时间.
使用格拉斯哥昏迷结局得分评估结果.

主要成果:

总体死亡率为4.3%,女性和5岁以下儿童的死亡率更高.
较低的手术前GCS和anisocoria与增加的死亡率有关.
早期手术 (6小时内) 的死亡率为0.0%,功能恢复率为57.8%.

结论:

早期的手术干预对于有利的结果至关重要.
女性性别,低GCS,瞳孔膨胀,相关病变,手术延迟和年轻是不良结果的预测因素.

关键词:

周围膜血瘤;手术死亡率;预后因素;并发症;结果;外周膜血瘤.

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