Klöti J
Z Kinderchir. 1985 Jun;40(3):131-5. doi: 10.1055/s-2008-1059731.
A standard therapy and the outcome following severe head injury in 51 children are presented. The Glasgow-Coma-Scale was used for classification. Initial therapy included intubation, hyperventilation, ICP monitoring, and barbiturate coma. 14 children had a normal ICP recording, 13 showed moderate (-35 mmHg) ICP elevations, and 23 had recurrent ICP elevations above 35 mmHg. Only one patient survived in a vegetative state. Overall mortality was 21%. All but one of the survivors were controlled one year after the accident. School performance, social integration and the Glasgow-Outcome-Scale were controlled for judging the results. 82% of the surviving children were able to visit a normal school.
本文介绍了51名儿童严重头部受伤后的标准治疗方法及结果。采用格拉斯哥昏迷量表进行分类。初始治疗包括插管、过度换气、颅内压监测和巴比妥类药物昏迷治疗。14名儿童颅内压记录正常，13名显示颅内压中度升高（-35 mmHg），23名颅内压反复升高超过35 mmHg。只有1名患者处于植物人状态存活。总体死亡率为21%。除1名幸存者外，其他所有幸存者在事故发生一年后情况得到控制。通过学校表现、社会融入情况和格拉斯哥预后量表来判断结果。82%的幸存儿童能够进入正常学校就读。
