Abstract：Objective To analyze the influencing factors of delayed intracerebral hematoma after craniocerebral injury.Methods A total of 144 patients with craniocerebral injury who were treated in our hospital from January 4,2015 to December 18,2018 were selected as research objects,including 72 patients with delayed intracerebral hematoma after craniocerebral injury and 72 patients with simple craniocerebral injury.According to different disease types,72 patients with simple craniocerebral injury were used as control group,and 72 patients with delayed intracerebral hematoma after craniocerebral injury were used as observation group.Both groups received plasma D-dimer test(immunotactic turbidimetry),the clinical data of patients with craniocerebral injury were compared,and the influencing factors of delayed intracerebral hematoma after craniocerebral injury were analyzed by Logistic regression.Results The proportions of midline shift>0.5 cm,ring pool blur or disappearance and subarachnoid hemorrhage(SAH)in the observation group were higher than those in the control group,the Glasgow outcome scale(GOS)score and the Glasgow coma scale(GCS)score were lower than those in the control group,and the D-dimer level was higher than that in the control group,with statistically significant differences(P<0.05).Logistic regression analysis showed that SAH,ring pool blur or disappearance,midline shift>0.5 cm,D-dimer level and GCS score were the influencing factors of delayed intracerebral hematoma after craniocerebral injury (P<0.05).Conclusion The influencing factors of delayed intracerebral hematoma after craniocerebral injury are closely related to SAH,ring pool blur or disappearance,midline shift>0.5 cm,D-dimer level and GCS score.
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