Department of Neurology, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Indian J Pediatr. 2009 Sep;76(9):929-31. doi: 10.1007/s12098-009-0143-9. Epub 2009 May 27.
To investigate the outcome of head trauma and its related factors in Iranian children.
In a nonrandomized cross-sectional study 380 patients younger than 18-yr-old admitted to the surgery ward of Ali-E-Bne-Abitaleb Hospital, Rafsanjan due to head trauma were included. In all of them, skull X-ray and brain CT scan were performed under the supervision of the neurologist and neurosurgeon according to special indications. Patients were followed till discharge from the hospital or death. At the time of discharge, the patients were evaluated by pediatrician. Demographic information and imaging findings were statistically analyzed using SPSS software.
Male to female ratio was 3:1 Most cases were in the age range of 7-12 year. Seventy two percent and 11% of patients' admission was due to motor accidents and falling, respectively. Eighty two percent of patients were discharged with complete recovery; also 12% of skull-radiographs and 17% of brain CT scans were abnormal.
Head trauma had more prevalence and mortality in male than female. Also in the present study, motor accidents as an etiology of head trauma was more frequent than the western countries, which demands special precautions to decrease this problem.
调查伊朗儿童头部外伤的结局及其相关因素。
在一项非随机的横断面研究中，共纳入 380 名年龄小于 18 岁的因头部外伤而入住拉夫桑詹阿里·伊本·阿比勒医院外科病房的患者。所有患者均在神经科医生和神经外科医生的监督下，根据特殊指征进行颅骨 X 线和脑部 CT 扫描。对所有患者进行随访，直至出院或死亡。在出院时，由儿科医生对患者进行评估。使用 SPSS 软件对人口统计学信息和影像学结果进行统计学分析。
男女比例为 3:1，大多数患者年龄在 7-12 岁之间。72%和 11%的入院患者分别因机动车事故和摔倒导致头部外伤。82%的患者完全康复出院；另外，12%的颅骨 X 线片和 17%的脑部 CT 扫描结果异常。
与女性相比，男性头部外伤的患病率和死亡率更高。此外，在本研究中，机动车事故是头部外伤的主要病因，比西方国家更为常见，这需要特别注意以减少这一问题。
