钝性脑血管损伤：来自一家大型创伤中心的评估
Blunt cerebrovascular injury: an evaluation from a major trauma centre.
作者信息
Risgaard Ole, Sugrue Michael, D'Amours Scott, Christey Grant, Smith Katherine, Caldwell Erica, Larivière Christian
机构信息
Trauma Department, Liverpool Hospital, Liverpool, Australia.
出版信息
ANZ J Surg. 2007 Aug;77(8):686-9. doi: 10.1111/j.1445-2197.2007.04187.x.
BACKGROUND
Blunt cerebrovascular injury (BCVI), although uncommon, is associated with substantial morbidity and mortality and remains poorly understood. This study was conducted to determine the pattern and outcome of BCVI at a major trauma centre.
METHODS
A retrospective review of all trauma admissions between 1996 and 2004 at Liverpool Hospital, the major trauma service for south-west Sydney, was undertaken using the hospital's computerized trauma registry.
RESULTS
Fourteen of the 7788 (0.18%) admitted blunt trauma patients sustained BCVI. Blunt carotid injury occurred in 10 of 14 and blunt vertebral injury occurred in 4 of 14 patients. Road trauma accounted for 9 of 14 cases. The median time to diagnosis was 2 days (range 1-45 days). The stroke rate was 36%, and the overall mortality was 29%.
CONCLUSION
This study identified BCVI as a relatively infrequent occurrence but with significant mortality and morbidity rates. Practice guidelines for both the screening and management of this patient group need to be developed and introduced in this major trauma centre.
背景
钝性脑血管损伤（BCVI）虽不常见，但与高发病率和死亡率相关，目前仍了解不足。本研究旨在确定一家主要创伤中心BCVI的模式及转归。
方法
利用医院的计算机创伤登记系统，对1996年至2004年期间悉尼西南部主要创伤服务机构利物浦医院收治的所有创伤患者进行回顾性研究。
结果
7788例钝性创伤入院患者中有14例（0.18%）发生BCVI。14例患者中10例发生钝性颈动脉损伤，4例发生钝性椎动脉损伤。14例病例中有9例由道路创伤所致。诊断的中位时间为2天（范围1 - 45天）。卒中发生率为36%，总死亡率为29%。
结论
本研究表明BCVI相对少见，但死亡率和发病率较高。该主要创伤中心需要制定并引入针对该患者群体的筛查和管理实践指南。
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