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[目的]探讨民族地区颅脑外伤临床及流行病学特点,总结致伤规律和防治对策。[方法]回顾性分析某院2005~2007年间颅脑损伤201例住院患者病例。[结果]车祸伤85例(42.29%),摔伤66例(32.84%),打击伤42例(20.90%),坠落伤8例(3.98%)。轻伤131例(65.18%),中型39例(19.40%),重型31例(15.42%)。伤残组34例GCS评分均值7.92±0.37,无伤残组167例GCS评分均值13.16±0.49,两组差异有统计学意义(P﹤0.01)。[结论]车祸伤是造成民族地区脑外伤最主要原因。GCS评分是伤残发生最有意义的监测指标。加强民族地区脑外伤流行特点认识和综合性防治具有重要意义。
[Objective] To explore the clinical and epidemiological features of craniocerebral trauma in ethnic areas and to summarize the injury rules and prevention measures. [Methods] A retrospective analysis of a hospital from 2005 to 2007 craniocerebral injury 201 cases of hospitalized patients. [Results] There were 85 cases of traffic accident (42.29%), 66 cases of falls (32.84%), 42 cases of injuries (20.90%) and 8 cases of falling injuries (3.98%). There were 131 cases (65.18%) with minor injuries, 39 cases (19.40%) with moderate diseases and 31 cases (15.42%) with severe injuries. The average GCS score of 34 patients in the disability group was 7.92 ± 0.37, and the mean of GCS score of 167 patients in the disability group was 13.16 ± 0.49. There was significant difference between the two groups (P <0.01). [Conclusion] Traffic accident is the most important cause of traumatic brain injury in minority areas. GCS score is the most significant monitoring of disability. It is of great importance to understand the characteristics of traumatic brain injury in ethnic areas and to prevent and treat it comprehensively.