1128例交通性颅脑损伤临床特征及死亡因素分析

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【中图分类号】 R651 【文献标志码】 A 【文章编号】1672-7770（2026）01-0014-06

Clinical characteristicsand risk factors for mortality in1 128 cases traffic-related traumatic brain injury LI Di， WANG Yongxin， XU Bin， LIU Bo， XIA Ping， QIN Hu. Afliated University， Urumqi Corresponding author： QIN Hu

Abstract： Objective To explore the factors influencing the clinical prognosis patients with trafic-related traumatic brain injury（TBI）and provide evidence for the clinical management patients with traffic-related TBI. MethodsThe clinical data 1128 patients with trafic-related TBI from 28 medical institutions in in 2O21 were analyzed retrospectively. Stepwise regression （forward method）was used to analyze the effcts various factors，including age，gender，and cause trauma，on treatment outcomes（survival or death）. ResultsThe results univariate analysis showed that the level Glasgow coma scale（GCS） score，midline shift or not，emergency tracheal intubation or not，place first admission，and surgery or not were correlated with the death patients （ P<0.05， ）.Multivariate Logistic regression analysis showed that low GCS score（ OR=7.811 ， 95%CI=3.001-20.334. ），midline deviation（ OR=3.905 ， 95%CI=1.764-8.646 ），emergency endotracheal intubation（ OR=7.314 ， 95%CI=2.680-19.965 ），monitoring treatment required upon admission（ OR=4 . 190， 95%CI=1 . 412-12.429）were the risk factors death，while surgical treatment （ OR=0.242 ， 95%CI=0.097-0.605 ）was the protective factor death.Conclusions Patients with traffic-related TBI in have certain regional-specific clinical characteristics.Low GCS score，midline shift，endotracheal intubation，and monitoring treatment required upon admission are significant factors contributing to patient mortality.

Keywords：traffic-related injury；traumatic brain injury；clinical feature；mortality

随着中国经济的飞速发展，机动车保有量的爆炸式增长，交通事故发生率也呈现快速上升趋势，其中交通事故导致创伤性颅脑损伤（traumaticbraininjury，TBI）比例也快速升高，并且逐渐成为危害生命健康的一个重要原因[1]。（剩余8578字）