摘要
目的探讨小儿外伤性弥漫性脑肿胀（ＰＡＤＢＳ）的发病率及临床特点。方法１４岁以下为小儿组，１４岁以上为成人组，所有病人经ＣＴ扫描诊断，观察指标为：入院时格拉斯哥昏迷计分法，颅内压，中间清醒期，癫痫发作，瞳孔变化，低血压及低氧血症，结果用卡方检验统计。结果小儿组ＰＡＤＢＳ发病率高，癫痫发作及瞳孔变化者多，死亡率低，较少有中间清醒期，统计学卡方检验有显著性差异。结论小儿ＰＡＤＢＳ与成人ＰＡＤＢＳ相比，发病率高，病情重，但预后好。
Objective Posttraumatic acute diffuse brain swelling(PADBS) is often found in clinical practice and seriously affects the outcome. The disease is most frequently found in childish patient. The objective of this search will be to find the attach rate and clinical features of the PADBS of children. Methods The patients under 14 year old belong to childish group. The patients over 14 year old belong to adult group. Glasgow coma score, ICP, the conscious time during coma, epilepsy, the change of pupilla, hypertension and hypoxia were observed by us when the patients were admitted to the hospital, all results were analyzed with chisquare test. Results The features of PADBS of children group are that the attach rate, epilepsy is much higher than adult ( P <0 01), the clinical findings is more serious than adult( P <0 01), the change of pupilla is more than adult (0 05> P >0 01), but the death rate is less than adult ( 0 05> P >0 01) and the conscious time during coma is less than adult ( P <0 01). Conclusion Compared PADBS of children with the PADBS of adult, we have found that children has much higher attach rate, more seriously the clinical findings and better outcome than adult. This conclusion can partial guildes neurosurgeons when they diagnosis and treatment PADBS.
出处
《中华神经外科杂志》
CSCD
北大核心
1999年第1期10-11,共2页
Chinese Journal of Neurosurgery
