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[额颞部头部损伤的流行病学]

[Epidemiology of fronto-basilar head injuries].

作者信息

Kościuczyk A, Mozolewski E, Słowik T, Tarczoń B, Jaczek J

出版信息

Neurol Neurochir Pol. 1983 Mar-Apr;17(2):275-9.

PMID:6633804
Abstract

Fractures of the cranial basis in the anterior cranial fossa accounted in a ten-year period in the material of the authors for 2.6% of cranial traumas and 24.6% of cranial basis fractures. In the observed cases rhinorrhoea was present in only 16% of cases. Purulent meningitis as a complication was observed in only 1.8% of cases and only late after the trauma. In view of the low frequency of inflammatory complications evidencing a considerable tendency for spontaneous healing of fistulas the authors suggest restriction of indications to surgical treatment in early period after trauma to cases with visible wide fissure in the fractures bone, displacement of fractured fragments and their position at different levels.

摘要

在前颅窝的颅底骨折在作者的十年研究资料中占颅脑外伤的2.6%,颅底骨折的24.6%。在所观察的病例中,仅有16%的病例出现鼻漏。作为并发症的化脓性脑膜炎仅在1.8%的病例中观察到,且仅在创伤后较晚出现。鉴于炎症并发症发生率低,表明瘘管有相当大的自发愈合倾向,作者建议将创伤后早期手术治疗的适应证限制于骨折骨有明显宽裂缝、骨折碎片移位及其处于不同水平位置的病例。

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