Sharma P, Dahiya R S, Dass B, Dewan Y, Arora A L
Department of Surgery, Postgraduate Institute of Medical Sciences, Rohtak.
J Indian Med Assoc. 2001 Feb;99(2):81-3.
A total of 100 patients of head injury were studied. They all underwent thorough clinical and neurological examination, skull radiography and CT scan of head. And with the help of all these parameters an evaluation was done to find out the importance of history of unconsciousness on risk of intracranial complications. A lot of controversies exist about detection of factors that make a patient of head injury a high risk candidate for developing intracranial complications. Young active population was the most commonly affected group in head injury with male preponderance at all ages. Roadside accident found to be the main cause of head trauma in adults while fall from height in paediatric age group. Although Glassgow Coma Index (GCI) was found to be a good predictor for intracranial complications as well as final outcome in patients with total score of 12 or less but it was not equally good in patients of minor head injury (GCI = 13-15). Similarly history of unconsciousness was not found to be correlating well with risk of intracranial complications but longer duration of unconsciousness was found to be a poor prognostic index.
共对100例头部受伤患者进行了研究。他们均接受了全面的临床和神经学检查、颅骨X线摄影及头部CT扫描。借助所有这些参数进行评估，以确定昏迷史对颅内并发症风险的重要性。对于确定哪些因素会使头部受伤患者成为发生颅内并发症的高危对象，存在诸多争议。年轻活跃人群是头部受伤最常受影响的群体，各年龄段男性居多。在成人中，路边事故是头部创伤的主要原因，而在儿童年龄组中，高处坠落是主要原因。尽管格拉斯哥昏迷量表（GCI）总分在12分及以下的患者中被发现是颅内并发症及最终结局的良好预测指标，但在轻度头部受伤患者（GCI = 13 - 15）中，其预测效果并不相同。同样，昏迷史与颅内并发症风险的相关性也不显著，但昏迷持续时间较长被发现是一个不良预后指标。
