创伤性脑损伤后的胃肠道出血:关于易患因素和结果的临床研究
Mehdi Mahmoodkhani1, Arvin Naeimi2, Amirhosein Zohrehvand3
1Department of Neurosurgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Caspian journal of internal medicine
|October 3, 2024
概括
创伤性脑损伤 (TBI) 患者的格拉斯哥昏迷表得分较低,低血压,脊柱损伤或轴内脑损伤面临更高的胃肠道出血 (GIB) 风险. 在TBI患者中,GIB与较差的神经结果相关.
科学领域:
- 神经科学是一个神经科学.
- 胃肠病学 胃肠病学
- 关键护理医学 关键护理医学
背景情况:
- 创伤性脑损伤 (TBI) 是全球死亡和残疾的主要原因.
- 压力和随后的胃肠道出血 (GIB) 是重症患者的常见并发症,特别是那些TBI.
- 了解预测TBI患者GIB的因素对于改善结果至关重要.
研究的目的:
- 在创伤性脑损伤 (TBI) 患者中调查与胃肠道出血 (GIB) 相关的诱导因素.
- 评估GIB对TBI患者神经结果和死亡率的影响.
主要方法:
- 在2019年2月至2021年11月期间入院的TBI患者的回顾性队列研究.
- 根据临床数据,患者被分为创伤后GIB和无GIB组.
- 在随访期间评估了格拉斯哥结局得分 (GOS) 和死亡率,以评估结果.
主要成果:
- 创伤后GIB组表现出较高的严重TBI,轴内病变,入院时的低血压和凝血病率.
- 患有GIB的患者在入院和出院时格拉斯哥昏迷度量 (GCS) 得分较低,入院血红蛋白水平较低.
- GIB的独立预测因素包括初级GCS,低血压,脊柱损伤和轴内脑损伤.
结论:
- 主要GCS,低血压,脊柱损伤和轴内脑损伤是TBI患者GIB的独立预测因素.
- 在TBI患者中,胃肠道出血与更糟糕的神经结果有关,由较低的GOS分数表明.
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