Ingebrigtsen T, Rise I R, Wester K, Romner B, Kock-Jensen C
Nevrokirurgisk avdeling Regionsykehuset i Tromsø.
Tidsskr Nor Laegeforen. 2000 Jun 30;120(17):1985-90.
The Scandinavian Neurotrauma Committee (SNC) was initiated by the Scandinavian Neurosurgical Society to develop evidence-based guidelines for improved care of neurotrauma patients. A MEDLINE search identified 475 papers dealing with the management of minimal, mild and moderate head injuries. Fourty-two studies presenting Class II evidence on the initial management of such injuries were reviewed and management guidelines were developed. Implementation of the Head Injury Severity Scale is advocated. Patients with minimal injuries (no loss of consciousness (LOC), Glasgow Coma Scale (GCS) score 15) can be safely discharged. Routine early CT scan is recommended in cases with mild injuries (history of LOC, GCS 14-15) and patients with normal scans may be discharged. CT scan and admission is mandatory in moderate injuries (GCS < or = 13). All patients harbouring additional risk factors should be scanned and admitted. A flow chart for clinical decision making and a Head Injury Instruction card are introduced.
斯堪的纳维亚神经创伤委员会（SNC）由斯堪的纳维亚神经外科学会发起，旨在制定基于证据的指南，以改善对神经创伤患者的护理。通过医学文献数据库检索，共找到475篇关于轻度、中度和重度头部损伤管理的论文。对42项提供此类损伤初始管理二级证据的研究进行了综述，并制定了管理指南。提倡使用头部损伤严重程度量表。轻度损伤患者（无意识丧失（LOC），格拉斯哥昏迷量表（GCS）评分为15）可安全出院。轻度损伤（有LOC病史，GCS 14 - 15）患者建议进行常规早期CT扫描，扫描结果正常的患者可以出院。中度损伤（GCS≤13）患者必须进行CT扫描并住院。所有有其他危险因素的患者都应进行扫描并住院。引入了临床决策流程图和头部损伤指导卡。
