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【科普】拉瓦尔品第联合陆军医院对300例2005年
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Head trauma due to earthquake october, 2005 - experience of 300 cases at the combined military hospital rawalpindi.
拉瓦尔品第联合陆军医院对300例2005年10月地震所致头部创伤的诊治经验
Bhatti SH, Ahmed I, Qureshi NA, Akram M, Khan J.
Department of Neurosurgery, Combined Military Hospital, Rawalpindi.
Objective: To assess the spectrum and management of head injuries among earthquake victims.目的：评价地震受难者中颅脑损伤的类型和处理。Study Design: Case series. 研究设计:病例分组Place and Duration of Study: The study was conducted at Surgical Ward II, Combined Military Hospital, Rawalpindi, from October 2005 to December 2006.研究地点和期限：该研究由拉瓦尔品第联合陆军医院第二外科部执行，自2005年10月至2006年12月。Patients and Methods: Three hundred consecutive cases of head injury, secondary to earthquake were included in the study. Plain X-rays of skulls were undertaken in clinically stable patients with head injuries. Cases with altered level of consciousness and compound depressed fractures were advised CT scan of head. Pus swabs were taken from open wounds. Proformas were maintained for every patient. Head injury was classified as mild, moderate and severe, and each patient was treated accordingly.患者与方法： 研究中包括继发于地震的连续300例颅脑损伤病例。临床情况稳定的颅脑损伤患者进行头颅平片检查。意识状态改变和复合凹陷性骨折的患者建议头颅CT扫描。从开放性伤口提取脓液拭子。对所有患者进行评估.颅脑损伤分为轻,中,重度，并且每位患者都进行相应治疗。Results: One hundred and twenty three (41%) patients were children under 10 years of age. Adults below 55 years were 69 (23%) and above 55 years were 108 (36%). Mean age was 32.2 years (SD + 6.7). Female to male ratio was 1.1:1. One hundred and sixty five (55%) cases were of mild head injury, 103 (34.3%) patients had moderate head injury and 32 (10.7%) patients had severe head injury. Majority (48.7%) of patients was managed conservatively. Minor surgeries were done in 17% of patients and major surgeries were done in 34.3% of patients. Glasgow Outcome Scale assessment was made at the end of 6 months and 1 year. Mortality increased from 3.3% to 7% in one year time.结果：10岁以下儿童患者123例（41%）。55岁以下成人69例（23%），55岁以上108例（36%）。平均年龄为32.3岁（SD6.7）。女性与男性比例为1.1：1。）轻度颅脑损伤165例（55%），中度103例（34.3%），重度32例（10.7%）。大部分病人常规治疗（48.7%）。17%的患者行小外科手术，34.3%患者行大外科手术。6个月和1年后行Glasgow结果等级评估。1年内死亡率由3.3%增加到7%。Conclusion: Patients at the extremes of age are more vulnerable to trauma and should be given timely attention in disaster management plans. General and trauma surgeons should be well-versed with the techniques and indications of burr hole evacuation of life threatening intracranial haematomas in situations, where early evacuation is unattainable.结论：年幼和年老的病人更容易发生外伤，在灾害处理计划中对这些病人应该给予及时的关注。普外和创伤外科医生应熟练掌握头颅钻孔术的适应症和技术，这个手术是在早期抽取难以完成的状况下,为了去除危及生命的颅内血肿而进行的.
PMID: 18452663 [PubMed - in process]
编译:
目的：评价地震受难者中颅脑损伤的类型和处理。研究设计:病例分组研究地点和期限：该研究由拉瓦尔品第联合陆军医院第二外科部执行，自2005年10月至2006年12月。患者与方法： 研究中包括继发于地震的连续300例颅脑损伤病例。临床情况稳定的颅脑损伤患者进行头颅平片检查。意识状态改变和复合凹陷性骨折的患者建议头颅CT扫描。从开放性伤口提取脓液拭子。对所有患者进行评估.颅脑损伤分为轻,中,重度，并且每位患者都进行相应治疗。结果：10岁以下儿童患者123例（41%）。55岁以下成人69例（23%），55岁以上108例（36%）。平均年龄为32.3岁（SD 6.7）。女性与男性比例为1.1：1。）轻度颅脑损伤165例（55%），中度103例（34.3%），重度32例（10.7%）。大部分病人常规治疗（48.7%）。17%的患者行小外科手术，34.3%患者行大外科手术。6个月和1年后行Glasgow结果等级评估。1年内死亡率由3.3%增加到7%。结论：年幼和年老的病人更容易发生外伤，在灾害处理计划中对这些病人应该给予及时的关注。普外和创伤外科医生应熟练掌握头颅钻孔术的适应症和技术，这个手术是在早期抽取难以完成的状况下,为了去除危及生命的颅内血肿而进行的.
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作者:admin@医学,生命科学 2010-11-18 05:11
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