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。
相似文献
1
Avoidable factors contributing to death after head injury.头部损伤后导致死亡的可避免因素。
Br Med J. 1977 Sep 3;2(6087):615-8. doi: 10.1136/bmj.2.6087.615.
2
Avoidable factors contributing to death of children with head injury.导致头部受伤儿童死亡的可避免因素。
BMJ. 1990 Jan 13;300(6717):87-91. doi: 10.1136/bmj.300.6717.87.
3
Avoidable factors contributing to the death of head injury patients in general hospitals in Mersey Region.默西地区综合医院颅脑损伤患者死亡的可避免因素。
Lancet. 1981 Aug 29;2(8244):459-61. doi: 10.1016/s0140-6736(81)90786-8.
4
Epilepsy and acute traumatic intracranial haematoma.癫痫与急性外伤性颅内血肿
J Neurol Neurosurg Psychiatry. 1975 Apr;38(4):378-81. doi: 10.1136/jnnp.38.4.378.
5
Head injuries due to falls caused by seizures: a group at high risk for traumatic intracranial hematomas.癫痫发作导致跌倒引起的头部损伤：外伤性颅内血肿的高危人群。
J Neurosurg. 1997 Mar;86(3):433-7. doi: 10.3171/jns.1997.86.3.0433.
6
Neurosurgical complications after apparently minor head injury. Assessment of risk in a series of 610 patients.轻度头部损伤后的神经外科并发症。对610例患者的风险评估。
J Neurosurg. 1986 Aug;65(2):203-10. doi: 10.3171/jns.1986.65.2.0203.
7
[Elderly patients with traumatic intracerebral hematoma who talk and deteriorate].
No Shinkei Geka. 1989 Feb;17(2):177-80.
8
Head injury and brain ischaemia--implications for therapy.头部损伤与脑缺血——对治疗的启示
Br J Anaesth. 1985 Jan;57(1):120-30. doi: 10.1093/bja/57.1.120.
9
Posttraumatic epilepsy and mortality following penetrating head injuries.
Arch Neurol. 1985 Jul;42(7):627. doi: 10.1001/archneur.1985.04060070013006.
10
Management of traumatic intracranial haematoma.创伤性颅内血肿的管理
Br Med J (Clin Res Ed). 1982 Dec 11;285(6356):1695-7. doi: 10.1136/bmj.285.6356.1695.
引用本文的文献
1
Individualized autoregulation-guided arterial blood pressure management in neurocritical care.神经重症监护中基于个体化自动调节指导的动脉血压管理
Neurotherapeutics. 2025 Jan;22(1):e00526. doi: 10.1016/j.neurot.2025.e00526. Epub 2025 Jan 18.
2
Fine Tuning of Traumatic Brain Injury Management in Neurointensive Care-Indicative Observations and Future Perspectives.神经重症监护中创伤性脑损伤管理的精细调整——指示性观察与未来展望
Front Neurol. 2021 Feb 24;12:638132. doi: 10.3389/fneur.2021.638132. eCollection 2021.
3
Towards improving prehospital triage for older trauma patients.为了改善老年创伤患者的院前分诊。
Z Gerontol Geriatr. 2021 Mar;54(2):125-129. doi: 10.1007/s00391-021-01844-4. Epub 2021 Jan 28.
4
Imaging Guidance for Therapeutic Delivery: The Dawn of Neuroenergetics.治疗性药物输送的影像学引导：神经能量学的曙光。
Neurotherapeutics. 2020 Apr;17(2):522-538. doi: 10.1007/s13311-020-00843-4.
5
Nonoperative management of splenic injury in closely monitored patients with reduced consciousness is safe and feasible.对于意识降低且接受密切监测的患者，脾损伤的非手术治疗是安全且可行的。
Scand J Trauma Resusc Emerg Med. 2019 Dec 5;27(1):108. doi: 10.1186/s13049-019-0668-5.
6
Enduring Neuroprotective Effect of Subacute Neural Stem Cell Transplantation After Penetrating TBI.穿透性创伤性脑损伤后亚急性神经干细胞移植的持久神经保护作用
Front Neurol. 2019 Jan 17;9:1097. doi: 10.3389/fneur.2018.01097. eCollection 2018.
7
Determinants of Timing of Presentation of Neurotrauma Patients to a Neurosurgical Center in a Developing Country.发展中国家神经创伤患者前往神经外科中心就诊时间的影响因素
J Neurosci Rural Pract. 2018 Oct-Dec;9(4):545-550. doi: 10.4103/jnrp.jnrp_502_17.
8
Investigating structural and perfusion deficits due to repeated head trauma in active professional fighters.探究因重复头部创伤导致活跃职业拳手的结构和灌注缺陷。
Neuroimage Clin. 2017 Nov 21;17:616-627. doi: 10.1016/j.nicl.2017.11.013. eCollection 2018.
9
Association of Out-of-Hospital Hypotension Depth and Duration With Traumatic Brain Injury Mortality.院外低血压深度和持续时间与创伤性脑损伤死亡率的关联。
Ann Emerg Med. 2017 Oct;70(4):522-530.e1. doi: 10.1016/j.annemergmed.2017.03.027. Epub 2017 May 27.
10
Mortality and Prehospital Blood Pressure in Patients With Major Traumatic Brain Injury: Implications for the Hypotension Threshold.重度创伤性脑损伤患者的死亡率与院前血压：对低血压阈值的启示
JAMA Surg. 2017 Apr 1;152(4):360-368. doi: 10.1001/jamasurg.2016.4686.
本文引用的文献
1
Traumatic intracerebral hematoma. Report of 63 surgically treated cases.创伤性脑内血肿。63例手术治疗病例报告。
J Neurosurg. 1972 Nov;37(5):528-32. doi: 10.3171/jns.1972.37.5.0528.
2
Infection after depressed fracture of skull. Implications for management of nonmissile injuries.
J Neurosurg. 1972 Mar;36(3):333-9. doi: 10.3171/jns.1972.36.3.0333.
3
Assessment of coma and impaired consciousness. A practical scale.昏迷与意识障碍评估。实用量表。
Lancet. 1974 Jul 13;2(7872):81-4. doi: 10.1016/s0140-6736(74)91639-0.
4
Misdiagnosis and delayed diagnosis in traumatic intracranial haematoma.创伤性颅内血肿的误诊与漏诊
Br Med J. 1976 Jun 12;1(6023):1438-9. doi: 10.1136/bmj.1.6023.1438.
5
Diffuse brain damage of immediate impact type. Its relationship to 'primary brain-stem damage' in head injury.
Brain. 1977 Sep;100(3):489-502. doi: 10.1093/brain/100.3.489.
6
Aspects of coma after severe head injury.重度颅脑损伤后的昏迷情况
Lancet. 1977 Apr 23;1(8017):878-81. doi: 10.1016/s0140-6736(77)91201-6.
7
Patients with head injury who talk and die.头部受伤后能说话但最终死亡的患者。
Lancet. 1975 Aug 30;2(7931):375-7. doi: 10.1016/s0140-6736(75)92893-7.
Zotero 插件