Violent head trauma in China: report of 2254 cases
Violent head trauma in China: report of 2254 cases
复制标题
中国暴力头部外伤：2254例报告
DOI：
10.1016/j.surneu.2007.09.016
复制
发表时间：
2007-01-01
影响因子：
--
通讯作者：
Sai, Zhang
中科院分区：
文献类型：
--
作者：
Jiang, Ji-Yao;Feng, Hua;Sai, Zhang
背景：暴力创伤近期发生增多，已成为中国的一个社会问题和医学问题。方法：对2001年1月至2006年12月中国11家医院收治的重型颅脑损伤患者进行研究。结果：11家医院收治的23816例重型颅脑损伤患者中，暴力性颅脑损伤2,254例(9.46%)。钝器伤1260例(55.90%)，锐器伤271例(12.02%)，枪击伤10例(0.44%)，其他伤713例(31.63%)。男性(n=1890，83.85%)和21~40岁者(n=1216，53.95%)易发生重型颅脑损伤。2254例重型颅脑损伤中，手术刀伤1277例，颅骨骨折786例，脑挫裂伤285例，颅内血肿898例。589例(26.13%)患者除头部暴力伤外，还伴有身体暴力伤。GCS评分13~15分1869例(82.92%)，9~12分166例(7.36%)，8分以下219例(9.72%)。1,042例患者接受了手术治疗，1212例患者接受了内科治疗。恢复良好1,931例(85.67%)，中度损伤14 1例(6.47%)，重度损伤36例(1.65%)，脑室周围血管痉挛7例(0.32%)，死亡63例(2.89%)，死亡76例，死亡76例。结论：暴力性颅脑损伤是一个严重的社会问题和医学问题，提示中国需要控制暴力行为，提高社会安全人权水平。(C)2007 Elsevier Inc.保留所有权利。
Background: The occurrence of violent trauma has recently increased, and it has become both a social and medical problem in China. We are the first to explore violent head trauma in China.Methods: Patients with violent head trauma were taken from all hospitalized patients with head trauma from January 2001 to December 2006 admitted to 11 hospitals in China. The rate, causes, age, sex, injury severity (GCS score), CT findings, management, outcome, and complications of patients with violent head trauma were retrospectively analyzed.Results: Two thousand two hundred fifty-four (9.46%) patients with violent head trauma were found among a total of 23 816 hospitalized patients with head trauma at 11 hospitals. Violent head trauma was caused by blunt objects (n = 1260, 55.90%), sharp/cutting instruments (n = 271, 12.02%), gunshots (n = 10, 0.44%), and others (n = 713, 31.63%). Violent head trauma was more likely to be found men (n = 1890, 83.85%) and in persons aged 21 to 40 years (n = 1216, 53.95%). In 2254 patients with violent head trauma, scalpel injury was seen in 1277 cases, skull fracture in 786 cases, cerebral contusion in 285 cases, and intracranial hematomas in 898 cases. Five hundred eighty-nine (26.13%) patients had body violent trauma besides violent head trauma. A GCS score of 13 to 15 was found in 1869 (82.92%) patients, 9 to 12 in 166 (7.36%), and 8 or less in 219 (9.72%). One thousand forty-two patients got surgical treatment, and another 1212 received medical management. One thousand nine hundred thirty-one (85.67%) patients had good recovery, 141 (6.47%) had moderate deficits, 36 (1.65%) had severe deficits, 7 (0.32%) had PVS, 63 (2.89%) died, and for the other 76, records were lost.Conclusions: Violent head trauma is certainly both a social and medical problem now, which indicates that violence should be controlled and that the human right of social safety needs to be improved in China. (c) 2007 Elsevier Inc. All rights reserved.