THE CONTUSION INDEX - A REAPPRAISAL IN HUMAN AND EXPERIMENTAL NON-MISSILE HEAD-INJURY
THE CONTUSION INDEX - A REAPPRAISAL IN HUMAN AND EXPERIMENTAL NON-MISSILE HEAD-INJURY
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DOI：
10.1111/j.1365-2990.1985.tb00027.x
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发表时间：
1985-01-01
影响因子：
5
通讯作者：
SAKAMOTO, T
中科院分区：
文献类型：
--
作者：
ADAMS, JH;DOYLE, D;SAKAMOTO, T
先前描述的量化非导弹头部损伤引起的人的脑挫伤的方法(挫伤指数)已被修改并应用于更大系列的病例，并用于评估实验性头部损伤的挫伤。在人类身上的初步发现已经得到证实，即。认为额叶和颞叶的挫伤最为严重；因颅脑损伤而死亡的患者可完全没有挫伤；挫伤的严重程度与损伤的性质之间没有相关性；对撞的概念必须继续受到质疑；有颅骨骨折的患者比没有骨折的患者更严重；未经历清醒间隔的患者挫伤更严重；弥漫性轴索损伤患者的挫伤较不弥漫性轴索损伤的患者更严重。在亚人灵长类动物中，挫伤的分布与人类相似，而且短时间的挫伤比长时间加速的挫伤更频繁。
A previously described-method of quantifying cerebral contusions in man (the contusion index) caused by non-missile head injury has been modified and applied to a larger series of cases, and used to assess contusions in experimental head injuries. The initial findings in man have been confirmed, viz. that contusions are most severe in the frontal and temporal lobes; that contusions may be entirely absent in a patient dying as a result of a head injury; that there is no correlation between the severity of contusions and the nature of the injury; that the concept of contrecoup must continue to be questioned; that contusions are more severe in patients who have a fracture of the skull in comparison to those who do not; that contusions are more severe in patients who do not experience a lucid interval than in those who do; and that contusions are less severe in patients with diffuse axonal injury than in those who do not have diffuse axonal injury. The distribution of contusions in subhuman primates is similar to that seen in man, and they occur more frequently with short duration than with long duration acceleration.