头部损伤后导致死亡的可避免因素。
Avoidable factors contributing to death after head injury.
作者信息
Rose J, Valtonen S, Jennett B
出版信息
Br Med J. 1977 Sep 3;2(6087):615-8. doi: 10.1136/bmj.2.6087.615.
Abstract
We reviewed 116 patients, known to have talked before dying after head injury, to discover factors which had contributed to death but which might have been avoided. All the patients were admitted to a neurosurgical unit and had a neuropathological post-mortem examination. One or more avoidable factors were identified in 86 patients (74%); an avoidable factor was judged certainly to have contributed to death in 63 patients (54%). The most common avoidable factor was delay in the treatment of an intracranial haematoma; others included poorly controlled epilepsy, meningitis, hypoxia, and hypotension. Changes in the management of patients with head injuries which reduce the incidence of avoidable factors should decrease mortality from this condition.
摘要
我们回顾了116例已知在头部受伤后临终前有过交谈的患者，以找出导致死亡但可能避免的因素。所有患者均入住神经外科病房，并接受了神经病理学尸检。86例患者（74%）被确定存在一个或多个可避免因素；63例患者（54%）被判定某个可避免因素肯定导致了死亡。最常见的可避免因素是颅内血肿治疗延迟；其他因素包括癫痫控制不佳、脑膜炎、缺氧和低血压。改变头部受伤患者的管理方式以降低可避免因素的发生率，应能降低该病的死亡率。
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