ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2017, Vol. 9 ›› Issue (1): 38-40.doi: 10.3969/j.issn.1674-3865.2017.01.011

• 临床研究 • 上一篇    下一篇

意外伤害致儿童重型颅脑创伤临床特点分析

张靖，熊群莉，刘平东   

  1. 518083 广东 深圳，深圳市盐田区盐港医院急诊科(张靖，刘平东)，产科(熊群莉)
  • 出版日期:2017-02-25 发布日期:2017-12-18
  • 通讯作者: 刘平东，E-mail：letterson@163.com
  • 作者简介:张靖(1982-)，男，主治医师。研究方向：儿童颅脑创伤的诊治

Analysis of clinical characteristics of severe traumatic brain injury caused by accident

ZHANG Jing，XIONG Qunli，LIU Pingdong   

  1. Emergency Department，Yangang Hospital in Yantian District of Shenzhen City, Shenzhen 518083，China
  • Online:2017-02-25 Published:2017-12-18

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摘要：
目的: 探析意外伤害导致儿童重型颅脑创伤的临床特点与治疗方法。
方法: 2015年2月至2016年2月深圳市盐田区盐港医院收治重型颅脑创伤患儿49例，格拉斯哥昏迷指数(GCS)，评分≤5分为观察组30例，评分>5分为对照组19例。比较两组死亡率、存活率以及并发症发生情况。
结果: 观察组存活率显著高于对照组，差异有统计学意义(P<0.05)；同时，观察组并发症发生率为20%(6/30)，低于对照组57.89%(11/19)，差异有统计学意义(P<0.05)。
结论: 临床上在对意外伤害导致儿童重型颅脑创伤进行诊断时，GCS评分、瞳孔以及神志是判断病情的一个关键因素，进一步加强颅内压监测，并且及时采取有效治疗措施，有助于降低死亡率，提高存活率。

关键词: 重型颅脑创伤, 意外伤害, 儿童

Abstract:
Objective: To study the clinical characteristics and treatment of severe traumatic brain injury caused by accident in children.
Methods: A total of 49 cases of children with severe traumatic brain injury treated in Yangang Hospital in Yantian District of Shenzhen City from February 2015 to February 2016 were selected and divided into the observation group, with 30 cases whose Glasgow coma index(GCS, Glasgow Coma, Scale) was 5 or less, and the control group, with 19 cases whose Glasgow coma index(GCS, Glasgow Coma, Scale) was more than 5. The mortality, survival rate and complications were compared between the two groups.
Results: The survival rate of the observation group was significantly higher than that of the control group, and the differences were statistically significant(P<0.05), and at the same time, the incidence of complications in the observation group was 20%(6/30), which was lower than 57.89%(11/19) in the control group and the differences were statistically significant(P<0.05).
Conclusion: In clinical application, the GCS score, pupil and consciousness are key factors to determine the condition of the disease in the diagnosis of children with severe traumatic brain injury. Further strengthening the monitoring of intracranial pressure and taking effective measures in time can help reduce the mortality rate and improve survival rate.

Key words: Severe traumatic brain injury, Accidental injury, Children