Hode L, Mewanou S, Deffon Y B P, Agbo-Panzo M, Ouangre A, Madougou S
Clinique Universitaire de Traumatologie Orthopédie et de Chirurgie Réparatrice du Centre National Hospitalier Universitaire Hubert Koutoukou Maga, 01 BP386, Cotonou, Bénin.
Service Polyvalent d'Anesthésie et Réanimation du Centre National Hospitalier Universitaire Hubert Koutoukou Maga, Cotonou, Bénin.
Neurochirurgie. 2018 Dec;64(6):410-414. doi: 10.1016/j.neuchi.2018.05.181. Epub 2018 Oct 19.
Social and economical impact of traumatic brain injury (TBI) is all the more important that this condition is one of the most frequent causes of death, morbidity and disability in adults. The aim of this study was to evaluate the results of neurosurgical treatment of traumatic brain injury at the Hubert Koutoukou Maga National Teaching Hospital (CNHU-HKM) in Cotonou.
It was a descriptive and analytical retrospective study. It was carried out on data of patients admitted to the CNHU-HKM for TBI from 1st of July 2012 to 30th of June 2015.
Among the 1777 TBI patients admitted, 80 (4.5%) had surgical treatment. The mean age of patients was 28±16 years. The sex-ratio was 5.27 male for 1 female. The injuries diagnosed were acute extra-dural hematoma (39.13%), acute subdural hematoma (15.94%), cranial cerebral wounds (21.73%), depressed fractures (14.49%), ventricular hemorrhage (5.8%), cerebellar hemorrhage (1.45%) and brain swelling (1.45%). The mean delay between diagnosis and surgical care was 120±152.32hours. Postoperative mortality rate was 13.04%.
Benin's health system does not provide optimal care management of patients with TBI. There is an emerging imperative to develop an insurance system for the management of TBI.
创伤性脑损伤（TBI）的社会和经济影响尤为重要，因为这种情况是成人死亡、发病和残疾的最常见原因之一。本研究的目的是评估科托努的于贝尔·库图库·马加国家教学医院（CNHU-HKM）对创伤性脑损伤的神经外科治疗结果。
这是一项描述性和分析性回顾性研究。对2012年7月1日至2015年6月30日期间因创伤性脑损伤入住CNHU-HKM的患者数据进行了研究。
在1777例创伤性脑损伤患者中，80例（4.5%）接受了手术治疗。患者的平均年龄为28±16岁。男女比例为5.27:1。诊断出的损伤包括急性硬膜外血肿（39.13%）、急性硬膜下血肿（15.94%）、颅脑伤口（21.73%）、凹陷性骨折（14.49%）、脑室出血（5.8%）、小脑出血（1.45%）和脑肿胀（1.45%）。诊断与手术治疗之间的平均延迟时间为120±152.32小时。术后死亡率为13.04%。
贝宁的卫生系统没有为创伤性脑损伤患者提供最佳的护理管理。迫切需要建立一个创伤性脑损伤管理保险系统。
