ISSN 1674-3865  CN 21-1569/R
主管:国家卫生和计划生育委员会
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

Chinese Pediatrics of Integrated Traditional and Western Medicine ›› 2017, Vol. 9 ›› Issue (1): 38-40.doi: 10.3969/j.issn.1674-3865.2017.01.011

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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
  • Published:2017-02-25 Online:2017-12-18

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