Melo José Roberto Tude, Reis Rodolfo Casimiro, Lemos-Júnior Laudenor Pereira, Azevedo-Neto Assuero, Oliveira Dalton Willy Santos, Garcia Felipe René F Cruz, Ribeiro Joelson Oliveira, Santos-Neto Muryllo de Brito, Oliveira-Filho Jamary
Post-Graduation Program in Medicine and Health, University of Bahia, Salvador BA, Brazil.
Arq Neuropsiquiatr. 2008 Sep;66(3B):708-10. doi: 10.1590/s0004-282x2008000500019.
To identify which pediatric patients with mild head trauma are candidates for skull radiographs or cranial computed tomography (CCT) scans.
Patients with mild head trauma aged from 0 to 19 years presenting to the Emergency Department of a trauma centre from Salvador City, Brazil, between May 2007 and May 2008.
A total of 1888 mild head trauma patients were admitted; mean age was 7.4 (+/-5.5) years. A total of 1956 skull radiographs and 734 CCT scans were performed. About 44.4% patients with Glasgow coma score (GCS) 13 and 55.4% with GCS 14 had abnormal CCT scans. In patients with multiple traumas, 16% had abnormal findings on CCT scans.
We strongly recommend routine CCT studies to patients with GCS of 13 and 14 or to multiple trauma victims, independently of score. Routine screening skull radiographs were not useful in the evaluation of mild head trauma patients in this study.
确定哪些轻度头部创伤的儿科患者适合进行颅骨X光检查或头颅计算机断层扫描（CCT）。
2007年5月至2008年5月期间，年龄在0至19岁之间、因轻度头部创伤到巴西萨尔瓦多市一家创伤中心急诊科就诊的患者。
共收治1888例轻度头部创伤患者；平均年龄为7.4（±5.5）岁。共进行了1956次颅骨X光检查和734次CCT扫描。格拉斯哥昏迷评分（GCS）为13分的患者中约44.4%以及GCS为14分的患者中55.4%的CCT扫描结果异常。在多发伤患者中，16%的CCT扫描有异常发现。
我们强烈建议对GCS为13分和14分的患者或多发伤受害者进行常规CCT检查，而不考虑评分。在本研究中，常规筛查颅骨X光检查对轻度头部创伤患者的评估并无用处。
Zotero 插件