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成人急性脑损伤后的高血糖水平,常显示损伤严重度较大和不良的神经学预后。对儿童中重度脑外伤病例进行了研究,旨在进一步探讨严重脑损伤后血糖水平与预后的关系。病例选择均为16岁以下重度外伤性脑损害,脑损伤分类按GCS记分法,在低于8时认定为重度,无论在现场或急症室均沿用此法。资料系重度脑损伤患儿75例,刚进急症室的首次血糖值作为急诊外伤化验常规的一部分进行分析,按照死亡或出院时GCS记分,分为恢复良好、中等
Adult patients with acute brain injury after high blood sugar levels, often showed greater severity of injury and poor neurological prognosis. The cases of severe traumatic brain injury in children were studied in order to further explore the relationship between blood glucose level and prognosis after severe brain injury. Case selection were severe traumatic brain injury under the age of 16, according to the classification of brain injury by GCS scoring, less than 8 in the identified as severe, both in the field or emergency room are using this method. The data were analyzed in 75 children with severe brain injury and the first blood glucose level just admitted to the A & E department as a routine part of an emergency trauma test. According to the GCS score at the time of death or discharge from hospital,