P. Kayastha, N. Neupane, S. Poudel, R. Adhikari, C. Pandey
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引用次数: 0
摘要
背景:头部损伤是世界范围内死亡和发病的主要原因。它可以单独发生,也可以与多系统损伤联合发生。正确和及时的颅脑损伤影像学评估有助于患者的分类和治疗。材料与方法采用非介入性研究设计,以医院为基础。219例颅脑外伤患者接受CT检查,采用不同的窗口设置和算法评估各种可能的损伤。数据以预先设计的形式输入,并使用IBM SPSS version 20进行分析。结果颅脑外伤以20 ~ 40岁年龄组最为常见。男性患者的发病频率高于女性患者。与头部创伤相关的最常见的发现是颅骨骨折,随后是脑血肿/挫伤。弥漫性轴索损伤和脑室内出血是头部外伤患者中最不常见的表现。结论道路交通事故是我们地区头部外伤的主要原因。它们通常涉及暴露在脆弱环境中的年轻雄性。如果谨慎采取适当的道路安全措施,可以帮助预防与这类伤害有关的大量死亡率和发病率。
Diversity in imaging findings of head injury patients: Our experience in a tertiary level hospital
Background
Head injury is a major cause of mortality and morbidity worldwide. It can occur in isolation or in association with multisystem injuries. Proper and prompt imaging evaluation in head trauma can help in the triage and management of the patients.
Material & methods
A hospital-based study using a non-interventional study design was employed. A total of 219 patients with head trauma who underwent CT were evaluated for various possible injuries using different window settings and algorithms. Data was entered in a predesigned proforma, and analysis was done using IBM SPSS version 20.
Results
The most common age group involved in head trauma was 20 to 40 years of age. Male patients were more frequently involved than female patients. Most common finding associated with the head trauma was calvarial fracture followed by cerebral hematoma/ contusions. Diffuse axonal injury and intraventricular hemorrhage were the least common findings in patients with head trauma.
Conclusions
Road traffic accidents are the leading cause of head trauma in our part of the world. They commonly involve young males exposed to the vulnerable environment. Proper road safety measures, if undertaken cautiously, can help prevent significant mortality and morbidity associated with these kind of injuries.