Berney J, Favier J, Rilliet B
Neurosurgical Clinic, University Hospital, Geneva, Switzerland.
Childs Nerv Syst. 1995 May;11(5):256-64. doi: 10.1007/BF00301755.
Children aged 0-15 years hospitalized in Geneva for head trauma during the last quarter of a century are reviewed. More than half of the severely injured children were not from Geneva area. New methods of management have been introduced progressively. The cases are divided in four successive time periods and classified according to their pathology. A continuous improvement in mortality is obvious, decreasing from 29.4% to 2.2%, but climbing again to 15.2% in the last period, probably due to more severe pathologies. For the Geneva area the mortality decreased progressively from 10.4/100,000 to 3.5/100,000 annually, due to better organization and management, but also to a drop in the incidence of severe cases from 35.5-13.5/100,000 per year. A decrease in the number of traffic accidents is responsible for this. However, the number of handicapped children has not changed.
本文回顾了过去四分之一个世纪里在日内瓦因头部创伤住院的0至15岁儿童。超过半数的重伤儿童并非来自日内瓦地区。新的治疗方法已逐步引入。病例被分为四个连续时间段，并根据其病理情况进行分类。死亡率有明显的持续改善，从29.4%降至2.2%，但在最后一个时间段又回升至15.2%，这可能是由于病情更为严重。对于日内瓦地区，由于组织和管理的改善，以及每年重症病例发生率从35.5/10万降至13.5/10万，死亡率逐年从10.4/10万降至3.5/10万。交通事故数量的减少是造成这种情况的原因。然而，残疾儿童的数量并未改变。
