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Analysis of prognosis of systemic inflammatory response syndrome after acute craniocerebral injury
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF EMERGENCY MEDICINE
- Issue:
- 2
- DOI:
- 10.3760/j.issn:1671-0282.2007.02.008
- Key Word:
- 颅脑损伤;全身炎症反应综合征;预后
Abstract： 目的 研究急性颅脑损伤与全身炎症反应综合征(SIRS)发生的关系及对预后的影响.方法 回顾性分析310急性颅脑损伤患者,根据SIRS诊断标准,研究SIRS发生与病情轻重、预后的关系,SIRS组再根据诊断标准项目符合数分组,分别比较各组病例的病死率.结果 急性颅脑损伤后SIRS的发生率为61.0%,与性别、年龄无关,与GCS评分有一定关系,GCS评分越高,SIRS发生率越低;SIRS组的病死率显著高于非SIRS组(P＜0.05),且病死率随着SIRS严重程度增加而增高(P＜0.05).结论 急性颅脑损伤常合并SIRS,SIRS的发生与预后有关,应结合是否发生SIRS来综合判断急性颅脑损伤的轻重,SIRS的发生及严重程度可作为急性颅脑损伤预后判断及治疗指导的指标.
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