Jennett B, Teasdale G, Fry J, Braakman R, Minderhoud J, Heiden J, Kurze T
J Neurol Neurosurg Psychiatry. 1980 Apr;43(4):289-95. doi: 10.1136/jnnp.43.4.289.
Difficulties in establishing the value of certain treatments for head injury are reviewed. An analysis of 1000 severely head injured patients, managed by varying methods in three different countries, showed that certain treatments were more often used in the most severely injured patients. Even when the severity of injury was taken account of, it appeared that the use of steroids and tracheostomy did not affect outcome; but that patients undergoing mechanical ventilation had outcomes which were worse than expected. The value of treatments proposed for severe head injury needs rigorous scrutiny.
本文回顾了确定某些头部损伤治疗方法价值时所面临的困难。对1000例重度头部损伤患者进行分析，这些患者在三个不同国家接受了不同方法的治疗，结果显示某些治疗方法在伤势最严重的患者中使用得更为频繁。即使考虑到损伤的严重程度，似乎使用类固醇和气管切开术并不影响治疗结果；但接受机械通气的患者治疗结果比预期的更差。针对重度头部损伤提出的治疗方法的价值需要进行严格审查。
