Kalff R, Kocks W, Pospiech J, Grote W
Department of Neurosurgery, University of Essen, Federal Republic of Germany.
Childs Nerv Syst. 1989 Jun;5(3):156-9. doi: 10.1007/BF00272118.
For at least 1 year we have done a follow-up on 178 children under the age of 18 years with head injuries treated between 1981 and 1987. The Brussel Coma Scale and the Glasgow Outcome Score were used to determine neurological deficits and patient outcome. In children with coma, there was good recovery or moderate disability in 71.4%, severe disability in 6.1%, and death in 22.5%. When all head injuries were taken into consideration, a satisfactory outcome was found in 84.3%, severe disability in 3.3%, and death in 12.4%. The outcome mainly depended on the initial coma grade, but the duration of coma or advanced age were also negative factors for outcome. In 14.8%, intracranial mass lesions showed no significant correlation with outcome. In contrast to adults, diffuse brain swelling had a satisfactory outcome in 85.1%.
在至少1年的时间里，我们对1981年至1987年间接受治疗的178名18岁以下头部受伤儿童进行了随访。使用布鲁塞尔昏迷量表和格拉斯哥预后评分来确定神经功能缺损和患者预后。在昏迷儿童中，71.4%恢复良好或有中度残疾，6.1%有严重残疾，22.5%死亡。当考虑所有头部损伤时，84.3%的患者预后良好，3.3%有严重残疾，12.4%死亡。预后主要取决于初始昏迷等级，但昏迷持续时间或高龄也是预后的负面因素。在14.8%的病例中，颅内占位性病变与预后无显著相关性。与成人不同，弥漫性脑肿胀85.1%的患者预后良好。
