Pekár L, Pospísil M, Volf V
II. chirurgická klinika 1. lékarské fakulty, Univerzita Karlova, Praha.
Sb Lek. 1993;94(4):371-6.
Considering the number of patients hospitalized for craniocerebral injuries, the authors found, that it is the second highest of all wound injuries, and that in the age group to 44 years, these injuries, mostly treated in the surgical departments of hospitals, are also the most frequent cause of death. Both the correct diagnosis and timely cure are essential for lowering the mortality rate and alleviating the post-injury impairment. Even thought inebriety in a larger number of patients makes the diagnosis and treatment difficult, it seems possible that in many other cases shorter hospitalization as well as a treatment on the out-patient basis, mostly by a neurologist, should be considered. This contribution focuses on isolated craniocerebral injuries. In the years 1981-90, this group of patients hospitalized in our department, reached the number 1, 135. Of which 208 (18.3%) suffered the structural damage of the brain tissue diagnosed as cerebral contusion or intracranial bleeding, 927 (81.7%) brain concussion, and 68 (6.0%) simultaneously had polytrauma.
考虑到因颅脑损伤住院的患者数量，作者发现，此类损伤在所有创伤性损伤中位列第二；在44岁及以下年龄组中，这些大多在医院外科治疗的损伤，也是最常见的死亡原因。正确诊断和及时治疗对于降低死亡率及减轻损伤后功能障碍至关重要。尽管大量患者存在醉酒情况使得诊断和治疗困难，但在许多其他情况下，似乎应考虑缩短住院时间，并主要由神经科医生在门诊进行治疗。本文着重探讨单纯颅脑损伤。在1981年至1990年期间，我院收治的这类患者达1135例。其中，208例（18.3%）脑组织出现结构性损伤，诊断为脑挫伤或颅内出血；927例（81.7%）为脑震荡；68例（6.0%）同时存在多发伤。
