Kaptigau W Matui, Ke Liu, Rosenfeld J V
Department of Surgery, Port Moresby General Hospital, Free Mail Bag, Boroko, NCD 111, Papua New Guinea.
P N G Med J. 2007 Mar-Jun;50(1-2):50-7.
Traumatic brain injury (TBI) has been responsible for 25-30% of surgical deaths in Port Moresby General Hospital (PMGH) over the last 30 years despite being responsible for only 5% of the admissions.
To document the epidemiology of TBI over a period of two years from 2003 to 2004 and compare this to the previous two decades in PMGH and elsewhere. The treatment and outcome of TBI cases are analyzed.
All TBI cases were included from January 2003 to December 2004. The Glasgow Coma Score (GCS) and Glasgow Outcome Scale (GOS) were documented at admission and discharge. These cases were followed up in the outpatient department for at least 6 months.
There were 262 cases of TBI admitted between January 2003 and December 2004. There were 31 deaths during this period. 28 deaths were in the severe TBI category (GCS 3-8) and 3 in the moderate category (GCS 9-12).
The case fatality rate of severe TBI has been reduced from 60% to just below 30% over the period of 2 years. The formation of a single unit managing TBI over two years may be one factor contributing to this improvement. Interpersonal violence has replaced motor vehicle accidents as the leading cause of death from TBI.
在过去30年里，创伤性脑损伤（TBI）在莫尔斯比港总医院（PMGH）的外科手术死亡病例中占25%-30%，尽管其在入院病例中仅占5%。
记录2003年至2004年两年间TBI的流行病学情况，并将其与PMGH及其他地方此前的二十年情况进行比较。分析TBI病例的治疗方法和结果。
纳入2003年1月至2004年12月期间所有的TBI病例。记录入院时和出院时的格拉斯哥昏迷评分（GCS）和格拉斯哥预后评分（GOS）。这些病例在门诊部至少随访6个月。
2003年1月至2004年12月期间，共收治262例TBI病例。在此期间有31例死亡。28例死亡属于重度TBI类别（GCS 3-8），3例属于中度类别（GCS 9-12）。
在两年时间里，重度TBI的病死率已从60%降至略低于30%。两年来成立一个单一的TBI管理单元可能是促成这一改善的一个因素。人际暴力已取代机动车事故，成为TBI致死的主要原因。
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