The Classification and Risk Factors of Mild Head Injury

貢獻的翻譯標題: 輕度頭部外傷之分類及危險因子

Huan-Ting Chi, Wen-Ta Chiu, Dar-Yu Yang, Shin-Han Tsai

研究成果: 雜誌貢獻文章

摘要

背景:探討目前對於輕度頭部外傷的定義,以昏迷指數Glasgow Coma Scale (GCS)大於13分以上做為分類是否恰當?
方法:利用回溯性的研究,在兩年期間共收集到GCS在13-15的輕度頭部外傷,總共4271人。探討其臨床表現並分析會增加顱內出血機會的危險因子。
結果:其中970人(22.7%)電腦斷層結果發現有顱內出血,334(7.8%)需接受開顱手術以及237人(5.5%)預後不佳。我們歸納出八項危險因子,包括:男性、入院時GCS不到15分、意識喪失、傷後失憶、痙攣、神經障礙、顱骨骨折、年紀大於65歲。
結論:傷患GCS在13-15之間,其實臨床的差異是蠻大的。當傷患的GCS是13或14時,通常比較容易有嚴重的傷害。目前的輕度頭部外傷的定義可能讓人產生錯誤的印象,甚至造成疏失;因為其實傷害的結果可能不是“輕度”。我們建議,應該將GCS 13-15的傷患再細分為“輕度頭部外傷”及“高危險群輕度頭部外傷”。“輕度頭部外傷”定義為GCS 15且電腦斷層正常;“高危險群輕度頭部外傷”定義為GCS13、14或15但電腦斷層異常者。
原文英語
頁(從 - 到)31-38
頁數8
期刊Journal of Emergency Medicine, Taiwan
9
發行號2
出版狀態已發佈 - 2007

指紋

Glasgow Coma Scale
Craniocerebral Trauma
Skull Fractures
Amnesia
Unconsciousness
Seizures
Retrospective Studies
Head
Tomography

引用此文

The Classification and Risk Factors of Mild Head Injury. / Chi, Huan-Ting ; Chiu, Wen-Ta ; Yang, Dar-Yu ; Tsai, Shin-Han .

於: Journal of Emergency Medicine, Taiwan, 卷 9, 編號 2, 2007, p. 31-38.

研究成果: 雜誌貢獻文章

Chi, H-T, Chiu, W-T, Yang, D-Y & Tsai, S-H 2007, 'The Classification and Risk Factors of Mild Head Injury', Journal of Emergency Medicine, Taiwan, 卷 9, 編號 2, 頁 31-38.
Chi, Huan-Ting ; Chiu, Wen-Ta ; Yang, Dar-Yu ; Tsai, Shin-Han . / The Classification and Risk Factors of Mild Head Injury. 於: Journal of Emergency Medicine, Taiwan. 2007 ; 卷 9, 編號 2. 頁 31-38.
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AB - Aim: Evaluate the current definition of mild head injury and judge if GCS (Glasgow Coma Scale) 13 is a good critical value.Methods: A retrospective study of 4271 patients with mild head injury (GCS score 13-15) during a 2-year period. Their clinical manifestations were analyzed statistically to find the risk factors of intracranial lesions, neurosurgical intervention and poor outcome.Results: 970 (22.7%) patients had intracranial lesions proven by computed tomography (CT) of the head, 334 (7.8%) needed neurosurgical intervention and 237(5.5%) had an unfavorable outcome. Eight risk factors were found: male, GCS score lower than 15, initial loss of consciousness, post-traumatic amnesia, seizures, focal signs, presence of skull fractures, and old age (°Ÿ65).Conclusion: We suggest that mild head injury is defined as a GCS score of 15 without acute radiographic abnormalities, whereas high-risk mild head injury is defined as a GCS score of 13 or 14, or a GCS score of 15 with acute radiographic abnormalities.

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KW - 昏迷指數

KW - 危險因子

KW - mild head injury

KW - Glasgow Coma Scale GCS

KW - risk factors

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