Muñoz-Sánchez M A, Murillo-Cabezas F, Cayuela A, Flores-Cordero J M, Rincón-Ferrari M D, Amaya-Villar R, Fornelino A
Department of Critical Care and Emergency, Hospital Universitario Virgen del Rocío, Avda. Manuel Siurot s/n, 41013, Sevilla, Spain.
Childs Nerv Syst. 2005 Feb;21(2):128-32. doi: 10.1007/s00381-004-1036-x. Epub 2004 Aug 24.
The objective was to determine whether the age of patients with mild head injury and skull fracture influences the level of risk for acute intracranial injuries.
A study was conducted of 156 patients with skull fracture, 60 children (aged <14 years) and 96 adults, detected among 5,097 consecutive patients with mild head injury (Glasgow Coma Scale [GCS] score of 15-14 points) arriving at the Emergency Department of a Level I University Hospital Trauma Center during 1998. Acute intracranial injuries were defined as traumatic brain injuries identified by cranial computed tomography scan, excluding pneumocephalus.
Compared with the children, this risk of intracranial injury was 13 times greater in the adults aged 14-54 years and 16 times greater in the over-54-year-olds. Besides age over 14 years (p<0.0001), compound skull fracture (p<0.001), and a GCS score of 14 (p<0.001) were factors significantly associated with intracranial injury in the logistic regression analysis.
Skull fracture in mild head injury implies a greater risk of intracranial injury in adults than in children.
确定轻度头部损伤合并颅骨骨折患者的年龄是否会影响急性颅内损伤的风险水平。
对1998年期间在一所一级大学医院创伤中心急诊科就诊的5097例轻度头部损伤（格拉斯哥昏迷量表[GCS]评分为15 - 14分）患者中检测出的156例颅骨骨折患者进行研究，其中60例为儿童（年龄<14岁），96例为成人。急性颅内损伤定义为经头颅计算机断层扫描确诊的创伤性脑损伤，不包括气颅。
与儿童相比，14 - 54岁成人颅内损伤风险高13倍，54岁以上成人高16倍。在逻辑回归分析中，除了14岁以上（p<0.0001）、复合性颅骨骨折（p<0.001）和GCS评分为14（p<0.001）外，这些因素与颅内损伤显著相关。
轻度头部损伤合并颅骨骨折时，成人颅内损伤风险高于儿童。
Zotero 插件