摘要
目的探讨2岁以下婴儿非交通事故性轻型颅脑损伤发生颅内异常的危险因素。方法回顾性分析2018年1月至2021年12月收治的258例2岁以下婴儿非交通事故性轻型颅脑损伤的临床资料。根据初次CT检查判断颅内异常情况。结果258例中,初次CT检查发生颅内异常32例,发生率为12.4%。单因素分析显示头皮血肿大小及部位与颅内异常有关(P<0.05)。多因素logistic回归分析示,颞部头皮血肿(OR=23.767;95%CI 2.843~198.664;P=0.003)、头皮血肿直径>3 cm(OR=25.807;95%CI 3.261~204.261;P=0.002)是2岁以内婴儿非交通事故性轻型颅脑损伤发生颅内异常的独立危险因素。结论对2岁以下婴儿非交通事故性轻型颅脑损伤,颞部头皮血肿和血肿大小可以帮助预测颅内异常。这提示头皮包块的大小及部位可指导临床决策,减少婴儿CT检查,从而减少辐射暴露。
Objective To investigate the risk factors for intracranial abnormalities of infants under 2 years old with mild traumatic brain injury(mTBI)due to causes other than traffic accidents.Methods The clinical data of 258 infants under 2 years of age with mTBI due to causes other than traffic accidents who were admitted to our hospital from January 2018 to December 2021 were retrospectively analyzed.The intracranial abnormalities were determined by the initial CT examination.Results Of 258 cases,32 cases(12.4%)had intracranial abnormalities on initial CT examination.Univariate analysis showed that scalp hematoma,scalp hematoma size and scalp hematoma location were related to the intracranial abnormalities(P<0.05).Multivariate logistic regression analysis showed that temporal scalp hematoma(OR=23.767;95%CI 2.843~198.664;P=0.003)and scalp hematoma diameter>3 cm(OR=25.807;95%CI 3.261~204.261;P=0.002)were independent risk factors for intracranial abnormalities of infants with mTBI due to causes other than traffic accidents.Conclusions The temporal scalp hematoma and hematoma size can help to predict the intracranial abnormalities of infants under 2 years of age with mTBI due to causes other than traffic accidents.Our results suggest that the size and location of the scalp mass can guide clinical decision making,reduce CT examination,and thus reduce radiation exposure in infants.
作者
冯勇
郭伟
王晓宏
Feng Yong;Guo Wei;Wang Xiao-hong(Department of Neurosurgery,Tianshui Hospital of Integrated Chinese and Western Medicine,Tianshui 741000,China)
出处
《中国临床神经外科杂志》
2023年第6期375-377,382,共4页
Chinese Journal of Clinical Neurosurgery
关键词
轻型颅脑损伤
婴儿
非交通事故
颅内异常
危险因素
Mild traumatic brain injury
Infants
Children
Non-traffic accident
Intracranial abnormalities
Risk factor
