多排螺旋 CT 对地震伤与非地震伤所致颅脑损伤的对比研究。

Comparative study of earthquake-related and non-earthquake-related head traumas using multidetector computed tomography.

机构信息

Department of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

出版信息

Clinics (Sao Paulo). 2011;66(10):1735-42. doi: 10.1590/s1807-59322011001000011.

DOI:10.1590/s1807-59322011001000011

PMID:22012045

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3180155/

Abstract

OBJECTIVE

The features of earthquake-related head injuries may be different from those of injuries obtained in daily life because of differences in circumstances. We aim to compare the features of head traumas caused by the Sichuan earthquake with those of other common head traumas using multidetector computed tomography.

METHODS

In total, 221 patients with earthquake-related head traumas (the earthquake group) and 221 patients with other common head traumas (the non-earthquake group) were enrolled in our study, and their computed tomographic findings were compared. We focused the differences between fractures and intracranial injuries and the relationships between extracranial and intracranial injuries.

RESULTS

More earthquake-related cases had only extracranial soft tissue injuries (50.7% vs. 26.2%, RR = 1.9), and fewer cases had intracranial injuries (17.2% vs. 50.7%, RR = 0.3) compared with the non-earthquake group. For patients with fractures and intracranial injuries, there were fewer cases with craniocerebral injuries in the earthquake group (60.6% vs. 77.9%, RR = 0.8), and the earthquake-injured patients had fewer fractures and intracranial injuries overall (1.5 + 0.9 vs. 2.5 +1.8; 1.3 + 0.5 vs. 2.1 + 1.1). Compared with the non-earthquake group, the incidences of soft tissue injuries and cranial fractures combined with intracranial injuries in the earthquake group were significantly lower (9.8% vs. 43.7%, RR = 0.2; 35.1% vs. 82.2%, RR = 0.4).

CONCLUSION

As depicted with computed tomography, the severity of earthquake-related head traumas in survivors was milder, and isolated extracranial injuries were more common in earthquake-related head traumas than in non-earthquake-related injuries, which may have been the result of different injury causes, mechanisms and settings.

摘要

目的

由于环境不同，与地震相关的头部损伤的特征可能与日常生活中获得的损伤特征不同。我们旨在使用多排螺旋 CT 比较四川地震引起的头部创伤与其他常见头部创伤的特征。

方法

共纳入 221 例地震相关头部创伤患者（地震组）和 221 例其他常见头部创伤患者（非地震组），比较其 CT 检查结果。我们重点关注骨折和颅内损伤的差异以及颅外与颅内损伤的关系。

结果

与非地震组相比，更多的地震相关病例仅表现为颅外软组织损伤（50.7%比 26.2%，RR=1.9），而颅内损伤较少（17.2%比 50.7%，RR=0.3）。对于同时有骨折和颅内损伤的患者，地震组中颅脑损伤的病例较少（60.6%比 77.9%，RR=0.8），且地震组的骨折和颅内损伤总体较少（1.5+0.9 比 2.5+1.8；1.3+0.5 比 2.1+1.1）。与非地震组相比，地震组软组织损伤和颅骨骨折合并颅内损伤的发生率明显较低（9.8%比 43.7%，RR=0.2；35.1%比 82.2%，RR=0.4）。