두부 소상환자에 대한 혈당치와 예후에 관한 조사
Bood Glucose Level and Neurological Outcome in Head-Injured Patients
소속 상세정보
박성필
문형봉/주형근/조현원/박혁/윤성문
KMID : 0359819930220111206
Abstract
The authors ahd analysed retrospectively a series of 286 consecutive patients with head injury who were admitted to the department of neurosurgery. Dong Gang Hospital between March and July, 1992.
59 cases underwent craniotomy for evacuation of intracranial hematoma and/or placement of subarachnoid bolt for intracranial pressure monitoring under general anesthesia. Patients with a Glasgow coma Scale (GCS) Score of 8 or less had
significnatly
higher serum glucose levels postoperatively than patients wih GCS score of 12 to 15 (p<0.05).
Patients who subsequently remained in a vegetative state or died had significantly higher glucose levels postoperatively than patients who had good outcome or moderate diasbility (p<0.05). Among the more severely injured painents (GCS Score≤8),
a
serum
glucose level greater than 200mg/dl on admission is associated with a significantly worse outcome (p<0.05). The results suggest that severely head-injured patients frequently showed hyperglycemia and the elevted serum glucose level may worsen the
neurological outcome in such patients.
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