中文摘要：

目的探讨创伤性颅脑损伤后颅内进展型出血患者的临床特征，并分析其危险因素。方法选择创伤性颅脑损伤患者116例．根据是否出现颅内进展型出血分为进展性出血组和非进展性出血组。比较两组患者的年龄、受伤后首次CT的检查时间、昏迷评分、受伤到第二次CT检查的时间、凝血功能、首次CT和复查CT出血量等。采用统计学相关性分析方法分析进展性颅内出血的高危因素。结果患者年龄大、入院时GCS分数高、受伤到第一次CT时间短、D—D水平高、FDP水平高、PLT水平高、INR大是创伤性脑损伤后颅内进展型出血的危险因素（P〈0．05或〈0．01）。结论影响创伤性脑损伤后颅内进展型出血的危险因素较多，了解这些因素，做到积极预防和治疗，以降低对患者的危害，改善预后。

英文摘要：

Objective To discuss risk factors of progress in intracranial hemorrhages after traumatic brain injury. Methods Selected 116 cases with traumatic brain injury were divided into progress group and non-progress group ac- cording to progress in intracranial hemorrhages. Age, time of fist CT detection, GCS, time of second CT detection, coag- ulation function, amount of bleeding of results of first and second CT were compared. Results Elder, GCS on admission higher, time of fist CT detection shorter, level of D-D, FDP, PLT higher, INR bigger were risk factors of progress in in- tracranial hemorrhages after traumatic brain injury （P〈0.05 or 〈0.01 ）. Conclusion Risk factors of progress in intracra- niaJ hemorrhages after traumatic brain injury are many. To know there risk factors contributes to prevent and treat to improve prognosis.