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创伤性脑损伤患者的颅底骨折及其并发症

Basilar Skull Fractures and Their Complications in Patients With Traumatic Brain Injury.

作者信息

Shafiei Mehdi, Aminmansour Bahram, Mahmoodkhani Mehdi, Seyedmoalemi Mohammadamin, Tehrani Donya Sheibani

机构信息

Department of Neurosurgery, School of Medicine, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Neurosurgery, School of Medicine, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Korean J Neurotrauma. 2022 Sep 29;19(1):63-69. doi: 10.13004/kjnt.2022.18.e49. eCollection 2023 Mar.

Abstract

OBJECTIVE

Since traumatic brain injury is more common in young people, who are the main workforce and builders of society, it is important to consider the effects caused by brain injury on them. In this study, we investigated the clinical manifestations, complications, and prognosis of patients with basilar skull fractures.

METHODS

This cross-sectional study was conducted from March 2021 to March 2022 at the Kashani Hospital, Esfahan, Iran. Patients with basilar skull fractures were included in this study by census for one year. Recorded patient information was divided into two parts: demographic information, including age and sex, and disease information including loss of consciousness, signs of meningitis, need for surgery, and neurologic examination.

RESULTS

In this study, 100 patients were included, of whom 89 were men. The most common complication was pain at the site of the trauma, followed by bruising and bleeding from the site of the trauma. Raccoon eyes and cerebrospinal fluid leakage were observed in 19% and 32% of the patients, respectively.

CONCLUSION

As the occurrence of trauma has an economic burden on the country's health system, we must identify its consequences and problems and prevent its occurrence as much as possible by implementing educational measures.

摘要

目的

由于创伤性脑损伤在年轻人中更为常见,而年轻人是社会的主要劳动力和建设者,因此考虑脑损伤对他们造成的影响很重要。在本研究中,我们调查了颅底骨折患者的临床表现、并发症和预后。

方法

本横断面研究于2021年3月至2022年3月在伊朗伊斯法罕的卡沙尼医院进行。通过普查纳入了该研究中一年期间的颅底骨折患者。记录的患者信息分为两部分:人口统计学信息,包括年龄和性别;疾病信息,包括意识丧失、脑膜炎体征、手术需求和神经学检查。

结果

本研究共纳入100例患者,其中89例为男性。最常见的并发症是创伤部位疼痛,其次是创伤部位的瘀伤和出血。分别有19%和32%的患者出现熊猫眼和脑脊液漏。

结论

由于创伤的发生给国家卫生系统带来经济负担,我们必须识别其后果和问题,并通过实施教育措施尽可能预防其发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2034/10083455/fa0a77d1fd7c/kjn-19-63-g001.jpg

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