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颅骨骨折作为轻度头部损伤颅内并发症的危险因素:对98例成年患者的前瞻性CT研究

Skull fracture as a risk factor of intracranial complications in minor head injuries: a prospective CT study in a series of 98 adult patients.

作者信息

Servadei F, Ciucci G, Pagano F, Rebucci G G, Ariano M, Piazza G, Gaist G

机构信息

Division of Neurosurgery, Ospedale Bellaria, Bologna, Italy.

出版信息

J Neurol Neurosurg Psychiatry. 1988 Apr;51(4):526-8. doi: 10.1136/jnnp.51.4.526.

Abstract

Ninety eight patients admitted to hospital after a minor head injury were studied by CT. Forty seven patients had a skull fracture and 51 did not. Significantly more intracranial lesions were found in those with a fracture (16) that those without (3) (p less than 0.01). Nine of the patients with a skull fracture and positive CT were transferred to a neurosurgical department, where six underwent operation. Operation was not required in patients without a skull fracture. Head injured patients with a skull fracture should undergo CT scanning to enable early detection of an intracranial haematoma.

摘要

对98例轻度头部受伤后入院的患者进行了CT检查。47例患者有颅骨骨折,51例没有。骨折患者中发现的颅内病变(16例)明显多于无骨折患者(3例)(p<0.01)。9例颅骨骨折且CT检查呈阳性的患者被转至神经外科,其中6例接受了手术。无颅骨骨折的患者无需手术。头部受伤且有颅骨骨折的患者应接受CT扫描,以便早期发现颅内血肿。

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