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《Contemporary Medicine》 2017-35
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Analysis of the occurrence, development and risk factors of cerebral vasospasm after moderate and severe craniocerebral injury in children

Tang Zhi-ji;Zhang Jin-shi;Zhang Zhen-yu;Huang Qian-liang;Ye Xin-yun;Department of Neurosurgery, Ganzhou People's Hospital;  
Objective To analyze the situation and risk factors of cerebral vasospasm after moderate and severe craniocerebral injury in children.Methods Children with severe cranioce rebral injury were retrospectively analyzed who were treated in Ganzhou People's Hospital from March2015 to March 2017. The blood flow of middle cerebral artery by a bedside TCD detection method to determine cerebral vasospasm was used to analysis different groups of cerebral vasospasm,than the Logistic regression analysis of risk factors was performed to analysis the risk factors of cerebral vascular spasm after injury statistics. Results 76 children were enrolled in the study. The average Vm MCA of patients with low GCS score and large amount of bleeding was increased significantly. The risk factors of cerebral vasospasm by multi factor non conditional Logistic regression analysis found that the The GCS score at admission, whether exist combined injury, whether combined hernia were the independent risk factors of cerebral vasospasm after moderate and severe craniocerebral injury in children. Conclusion The degree of cerebral vasospasm is severe in children with moderate and severe craniocerebral injury that have lower GCS score and massive intracranial low GCS score, cerebral hernia and combined injury is the independent risk factors of vascular spasm that should be intervened in time to reduce risk.
【Fund】: 赣州市指导性科技计划任务(GZ2016ZSF143)
【CateGory Index】: R726.5
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