Ruijs M B, Keyser A, Gabreëls F J
Department of Neurology, St. Radboud Hospital, University of Nijmegen, The Netherlands.
Clin Neurol Neurosurg. 1990;92(4):323-8. doi: 10.1016/0303-8467(90)90058-d.
A study was made of the sequelae of brain damage in young patients. Seventy patients between 4 and 18 years, admitted under the diagnosis "diffuse brain contusion", have been followed at least two years after head injury. The degree of function impairment in the fields of motor skills, cognition and behaviour was recorded. It was found that many patients with neurologically little or no function loss, nevertheless after the accident did suffer from psychosocial problems in the realm of family life, school or profession. Based on these findings, the authors recommend a consequent and systematic follow up of patients if they have been in coma for more than 1 hour, the objective being the early assessment of such dysfunctions, followed by adequate assistance.
对年轻患者脑损伤的后遗症进行了一项研究。70名年龄在4至18岁之间、诊断为“弥漫性脑挫伤”的患者在头部受伤后至少随访了两年。记录了运动技能、认知和行为领域的功能损害程度。结果发现，许多神经功能损失很少或没有损失的患者，在事故发生后仍在家庭生活、学校或职业领域遭受心理社会问题。基于这些发现，作者建议，如果患者昏迷超过1小时，应进行持续和系统的随访，目的是早期评估此类功能障碍，随后提供适当的援助。
