Wahab A, Ibrahim M, Chowdhary U M, Ammar A, Ibrahim E M
Nagoya J Med Sci. 1989 Mar;51(1-4):1-6.
One analysis of the outcome of 159 cases of head injuries was based on patients' admission Glasgow Coma Scale (GCS), score, age, CT scan findings and uniform protocol of management. Fifty-three percent of the patients were children below the age of 10 years and 70% of all patients were Saudis. Eighty-point-five percent (80.5%) of the patients had a GCS score of 8 or more and their outcome was favorable. By contract, the 19.5% who had an initial GCS score of 7 or less tended to be older and had a worse prognosis (mortality 68%). A high initial GCS score, old age, associated multiple injuries and a shift of more than 4 mm of the midline structures on CT scan of the brain are useful prognostic indices in predicting the outcome of head injury.
一项针对159例头部损伤患者预后的分析，是基于患者入院时的格拉斯哥昏迷量表（GCS）评分、年龄、CT扫描结果以及统一的治疗方案。53%的患者为10岁以下儿童，所有患者中有70%为沙特人。80.5%的患者GCS评分为8分或更高，其预后良好。相比之下，初始GCS评分为7分或更低的19.5%患者往往年龄较大，预后较差（死亡率68%）。较高的初始GCS评分、高龄、合并多处损伤以及脑部CT扫描中线结构移位超过4毫米，是预测头部损伤预后的有用指标。
