Analysis Of Risk Factors For Postoperative Hydrocephalus In Patients With Sever Traumatic Brain Injury

Objective:to explore the risk factors of postoperative severe traumatic brain injury hydrocephalus,In order to take preventive interventions to reduce the incidence of traumatic hydrocephalus.Methods:a retrospective analysis of276cases of clinical data in patients with severe traumatic brain injury after surgery, follow-up of six months, according to the diagnostic criteria of hydrocephalus, hydrocephalus divided into groups and non-hydrocephalus group, T test, chi-square test and U inspection of the two groups of patients’gender, age, duration of hospitalization, intracranial cerebral contusion, intraventricular hemorrhage, subdural hematoma, epidural hematoma, skull injuries, linear skull fracture, cerebrospinal fluid protein levels and stress factors such as single factor analysis and stepwise Logistic regression analysis of possible factors.Results:the follow-up showed that patients with severe traumatic brain injury after cerebral hydrocephalus was17.03%(47/276). Univariate analysis showed hydrocephalus hydrocephalus group and non-group in age, intraventricular hemorrhage, subdural hematoma, coma (presence, duration), Glasgow coma score, traumatic subarachnoid hemorrhage, Galvez Dayton positioning and amnesia test, assessment of functional independence differences were statistically significant (P <0.05).Logistic regression analysis showed that age, subdural hematoma, coma (or without, duration), GCS, decompressive craniectomy are related to severe traumatic brain injury occurs hydrocephalus.Conclusion:hydrocephalus after severe traumatic brain injury surgery occurred in47cases, the rate was17.03%(47/276). Acute traumatic hydrocephalus which11cases (23.40%), chronic traumatic hydrocephalus in36cases (76.60%).Older, under a subdural hematoma, GCS low, decompressive craniectomy are risk factors for hydrocephalus after severe traumatic brain injury.