Talha KA, Ahmed MT, Ahmed SN, Choudhury MMK, Sulaiman M, Selina F, Begum K, Depok NH
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引用次数: 0
摘要
导言:创伤性脑损伤(TBI)或头部损伤是世界上导致死亡和残疾的主要原因之一。造成创伤性脑损伤的常见原因通常是机动车事故、坠落和人身攻击:这是一项前瞻性队列研究,旨在找出中度和重度颅脑损伤患者的病因与放射学检查结果之间的关系。研究地点为锡尔赫特 M A G Osmani 医学院医院神经外科、锡尔赫特女子医学院附属医院(SWMCH)和沙特阿拉伯塔伊夫费萨尔国王医院(KFH)。样本量为 104 个。研究期限为 3 年(2021 年 7 月至 2022 年 12 月)。根据放射学检查结果,参与者被分为三组或两组。不同组别分别为弥漫性脑外伤组(1 号组)、局灶性脑外伤组(2 号组)和两种类型(弥漫性和创伤性)脑外伤组(3 号组):女性的平均年龄明显更高(51.83%)。总平均年龄为 40.28 岁。20 岁以下年龄组发病率最高(23%),其次是 41-50 岁年龄组(20.2%)。道路交通事故(RTA)是最常见的病因(63.5%),其次是跌倒(21.2%)。1个月后,68.3%的参与者病情有所好转。结论颅脑损伤后残疾对任何国家或家庭来说都是巨大的心理和经济负担。RTA 是造成中度和重度头部损伤的主要风险因素。
Relationship between Etiology and Radiological Findings in Case of Moderate and Severe Head Injury Patients.
Introduction: Traumatic brain injury (TBI) or head injury is one of the leading causes of mortality and disability in the world. The common causes of TBI are usually motor vehicle accident, fall and physical assault.
Methodology: This was a prospective cohort study to find out the relationship between etiology and the radiological findings in moderate and severe head injury patients. The places of the study were the Neurosurgery department of Sylhet M A G Osmani Medical College Hospital, Sylhet Women’s Medical College Hospital (SWMCH) and King Faisal Hospital (KFH), Taif, KSA. The Sample size was 104. The study period was 3 years (July 2021 to December 2022). On the basis of radiological findings, the participants were divided into three groups or arms. The different arms were diffused traumatic brain injury (arm-1), focal traumatic brain injury (arm-2) and both (diffused and traumatic) types traumatic brain injury (arm-3).
Results: Mean age was significantly higher in female (51.83%). Overall mean age was 40.28 year. Highest frequency (23%) was in the below 20-year age group followed by the 41-50-year age group (20.2%). Road traffic accident (RTA) was the commonest (63.5%) etiology followed by fall (21.2%). At the end of 1 month 68.3% of participants showed improvement.
Conclusion: Post head injury disability is a huge psychological and financial burden for any nation or family. RTA contributes the major risk for the moderate and severe head injury