加布里埃尔医院急性硬膜下血肿的处理及预后

急诊医学(英文) Pub Date : 2022-01-01 DOI:10.4236/ojem.2022.101004

Y. Sogoba, D. Kanikomo, Quenum Kisito, M. Diallo, B. Dembélé, B. Sogoba, Djènè Kourouma, I. B. Koumaré, S. Diallo, Hamidou Almeimoune, M. Mangane, T. Diop, O. Coulibaly, M. Diarra, M. Dama, O. Diallo, Y. Maiga, D. Diango

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引用次数: 0

摘要

背景:外伤性脑损伤(TBI)是世界范围内的一个主要健康问题。它是创伤死亡的主要原因。急性硬膜下血肿(ASDH)被认为是所有创伤后头部损伤中最严重的。据估计，其频率占所有头部伤害的1%至5%，占严重头部伤害的22%。本研究的目的是评估我科ASDH的流行病学、临床和预后。材料和方法:这项前瞻性研究，于2019年1月至12月期间，纳入了Gabriel tour教学医院ASDH收治的57例患者。患者接受详细的临床和放射学评估，并通过非对比计算机断层扫描(CT)诊断ASDH。损伤后6个月用格拉斯哥预后量表评估功能结局。结果:在研究期间，662例TBI患者入院，其中57例(8.61%)为ASDH。平均年龄为34岁，极值为2岁和77岁。男性优势，52例(91.2%)。38例(66.6%)患者外伤的主要原因是机动车事故。根据格拉斯哥昏迷评分(GCS)， 33例(57.9%)患者为轻度(表2)。13例(22.8%)患者血肿厚度大于1cm, 44例(77%)患者血肿厚度小于1cm。手术治疗13例(22.8%)。30例(52.6%)患者预后良好，死亡率为33.3%。Sogoba, Y.， Kanikomo, D.， Kisito, Q.K.J.M.， Diallo, M.， dembl， B.， Sogoba, B.， Kourouma, D.， koumar， i.b.， Diallo, s.h.， Almeimoune, H.， mangan， M.， Diop, t.m.， Coulibaly, O.， Diarra, m.s.， Dama, M.， Diallo, O.， Maiga, Y.和Diango, D.M. (2022) Gabriel tour医院急性硬膜下血肿的管理和预后。急诊医学杂志，10,48-53。https://doi.org/10.4236/ojem.2022.101004收稿日期:2022年2月4日收稿日期:2022年3月15日出版日期:2022年3月18日版权所有©作者/作者:Scientific Research Publishing Inc。本作品采用知识共享署名国际许可协议(CC BY 4.0)。http://creativecommons.org/licenses/by/4.0/开放获取

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Management and Outcome of Acute Subdural Hematoma in Gabriel Touré Hospital

Background: Traumatic Brain Injury (TBI) is a major health problem worldwide. It is the main cause of trauma mortality. Acute subdural hematoma (ASDH) has a reputation for being the most serious of all posttraumatic head injuries. Its frequency is estimated to be 1% to 5% of all head injuries and 22% of severe head injuries. The aim of this study was to assess the epidemiological, clinical and prognosis aspects of ASDH in our department. Material and Methods: This prospective study, from January to December 2019, included 57 patients admitted to the Gabriel Touré Teaching Hospital for ASDH. Patients underwent detailed clinical and radiological evaluation and ASDH was diagnosed by non-contrast computed tomography (CT) scan. Functional outcome was evaluated 6 months after injury by Glasgow Outcome Scale. Results: During the study period, 662 patients were admitted for TBI including 57 (8.61%) cases of ASDH. The mean age was 34 years with extremes of 2 and 77 years. There was a male predominance with 52 (91.2%). The main cause of trauma was motor vehicle accidents in 38 (66.6%) patients. According to the Glasgow coma scale (GCS), 33 (57.9%) patients were classified mild (Table 2). The thickness of the hematoma was more than 1 cm in 13 (22.8%) patients and less than 1 cm in 44 (77%) patients. Surgical treatment was performed in 13 (22.8%) patients. The outcome was favorable in 30 (52.6%) patients and the mortality rate was 33.3%. Conclusion: ASDH reHow to cite this paper: Sogoba, Y., Kanikomo, D., Kisito, Q.K.J.M., Diallo, M., Dembélé, B., Sogoba, B., Kourouma, D., Koumaré, I.B., Diallo, S.H., Almeimoune, H., Mangané, M., Diop, T.M., Coulibaly, O., Diarra, M.S., Dama, M., Diallo, O., Maiga, Y. and Diango, D.M. (2022) Management and Outcome of Acute Subdural Hematoma in Gabriel Touré Hospital. Open Journal of Emergency Medicine, 10, 48-53. https://doi.org/10.4236/ojem.2022.101004 Received: February 4, 2022 Accepted: March 15, 2022 Published: March 18, 2022 Copyright © 2022 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access

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急诊医学(英文)

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