浅谈颅脑损伤合并硬膜外血肿的教学方法

Elbaih Adel Hamed, Bashmail Yasser Yousef
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摘要

背景:硬膜外血肿(EDH)是一种外伤性的血液积聚在颅骨内表和剥离的硬膜之间。EDH由外伤性头部损伤引起,通常伴有颅骨骨折和动脉撕裂伤。青少年和青壮年中EDH的发病率最高,报告的死亡率在5-43%之间。因此,我们的目的是探讨医学生和新医生在识别、诊断和管理这些疾病时所面临的EDH。目标人群:需要在急诊科进行紧急管理的急诊科患者,由急诊科医生指导治疗方案。本研究的目的:通过对急诊医师的培训方案,对EDH患者进行适当的识别和管理。根据孩子的年龄,部位,严重程度和受伤类型。方法:收集所有可能的关于急诊科EDH的资料。为了达到这些目的,通过许多研究问题进行了中线文献检索,关键词为“重症监护”,“急诊医学”,“不同急诊情况下校长硬膜外血肿”,“硬膜外血肿合并心脏骤停”。文献检索包括最近的定义,原因和最近的治疗干预策略的概述。结果:所有研究都指出,对EDH不同急诊情况的初步诊断及其干预治疗是急诊科患者面临的严重问题。结论:EDH是由硬脑膜与颅骨之间的潜在间隙出血引起的,通常是外伤性损伤所致。EDH的临床表现多种多样,包括意识改变、头痛、呕吐、嗜睡、精神错乱、失语、癫痫发作。头部计算机断层扫描(CT)是一种快速准确的检测急性颅内出血的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Short Review on: Teaching Approach for Head Injury with Epidural Hematoma
Background: Epidural hematoma (EDH) is a traumatic accumulation of blood between the inner table of the skull and the stripped-off Dural membrane. EDH results from traumatic head injury, usually with an associated skull fracture and arte rial laceration. The incidence of EDH is highest among adolescents and young adults and reported mortality rates range from 5-43%. Therefore, we aim to look into the EDH for both medical students and new physicians face in the recognition, diagnosis and management of these conditions. Targeted population: EDH patients who are requiring urgent management in the ED, with Emergency Physicians for teaching approach protocol. Aim of the study: Appropriate identification of EDH patients and management by training protocol to Emergency Physi -cians. Based on the child’s age, site, severity and types of injuries. Methods: Collection of all possible available data about the EDH at the emergency department. By many research ques tions to achieve these aims so a midline literature search was performed with the keywords “critical care”, “emergency medicine”, “principal’s Epidural hematoma in different emergencies”, “cardiac arrest with Epidural hematoma”. Litera ture search included an overview of recent definition, causes and recent therapeutic interventions strategies. Results: All studies introduced that initial diagnosis of different emergencies situations for EDH and their interventions therapy are serious conditions that face patients at the emergency departments. Conclusion: EDH is caused by bleeding in the potential space between the dura and the skull, usually because of traumat ic injury. The Clinical manifestations of EDH are highly variable, and include altered consciousness, headache, vomiting, drowsiness, confusion, aphasia, seizures. Head Computed Tomography (CT) is a fast and accurate method for the detec tion of acute intracranial hemorrhage.
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