Clinical Analysis Of The Prognostic Factors Of Severe Craniocerebral Trauma To Deconpression

Objective:To analyze the prognostic factors of decompression of patients with severe craniocerebral trauma.To provide a reference for clinicians to evaluate the prognosis of severe craniocerebral trauma.Method:A retrospective analysis was performed on 69 patients with severe craniocerebral trauma in the first or second affiliated hospital of guangxi medical university from September 2015 to September2017.Analysis the related clinical data of these patients: age,preoperative Glasgow coma scale(GCS),admitted to the pupil change,the intracranial lesion,midline structure shift degrees(the bleeding,bleeding),bone flap,timing of surgery,the size of the(symptoms to operating time).Analysis of patients with postoperative prognosis after six months,using Glasgow outcome score(GOSE)assessment of prognosis,divided into good prognosis group(restore good + mild disability)and poor prognosis group(severely disabled and death).Result:Of the 69 patients collected,41 had poor prognosis(20 were fatal),28 had good prognosis,and 31 had intracranial complications.In thesingle factor analysis of related factors: gender,age,bleeding in patients with long-term prognosis and surgical timing and no correlation(P > 0.05),preoperative GCS score Glasgow coma,midline shift,preoperative bilateral pupil,intracerebral haemorrhage amount appears,remove the size of the bone flap,and presence of intracranial complications associated with the prognosis of patients with postoperative condition.In multivariate logistic analysis,the patient's preoperative pupil size or bulk,intracranial hemorrhage and bone flap size were independent risk factors for postoperative prognosis of patients.Conclusion:In this data analysis,the gender,age,bleeding site and operative timing of patients with severe craniocerebral trauma showed no correlation with postoperative long-term prognosis.Preoperative GCS score was lower,the preoperative pupil was large or different,and the intracranial hemorrhage was greater than 30 ml or median shift,and the prognosis was poor after the operation of 10 mm.