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急性颅脑损伤831例临床分析

CLINICAL ANALYSIS OF 831 PATIENTSWITH ACUTE HEAD TRAUMA
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摘要 目的:为了解急性颅脑损伤病人颅内病灶特点及预后相关因素。方法:对病人颅内病灶部位、类型,入院时年龄、GCS及出院时GOS进行分析。结果:1.颅内病灶分布由多到少依次为:额、颞、顶、枕、脑室及幕下,左右大体相当。2.病灶类型由多到少依次为:脑挫裂伤、硬膜外血肿、硬膜下血肿及脑实质内血肿。3.GCS越低则预后越差。高年龄组预后较低年龄组差。结论:急性颅脑损伤颅内病灶以额颞部最多见,脑挫裂伤为最常见类型。脑损伤严重程度及年龄均与预后密切相关,损伤越重。 Objective: To study the features of traumatic lesion and the related factors of prognosis in acute head injuried patients Methods:The date analyzed the region and type of traumatic lesion, age and Glasgow coma scale(GCS) on admission, and Glasgow outcome scale(GOS) when discharging from hospitaiResults:1 The distribution of traumatic region with frequency from high to low is frontal, temporal,parietal, occipital lobe, ventricle and infratentorial region, equal frequency was mentioned between right and left lateral of head 2 the common type of lesion was brain contusion, extradural hematoma, subdural hematoma and hematoma in parenchyma 3 Bad outcomes were often in patients with lower GCS and old ageConclusion: Frontal and temporal region was the most common traumatic site, and brain contusion was the common traumatic type The severity and age in patient with head injury were closely related with the outcome, the severer the injury and the older the patient, the worse the outcome
作者 俞凯 杨树源
出处 《天津医科大学学报》 1998年第2期157-159,共3页 Journal of Tianjin Medical University
关键词 颅脑损伤 急性 病灶 预后 Head trauma Acute Lesion Outcome
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二级参考文献5

  • 1钟友工,上海医科大学学报,1987年,14卷,441页
  • 2团体著者,医用生物化学,1979年
  • 3段守勤,中华神经外科杂志,1989年,5卷,71页
  • 4郝文清,中国急救医学,1988年,8卷,9页
  • 5陶家骅,国外医学神经病学、神经外科学分册,1986年,13卷,293页

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