Emotional and psychosocial aspects of mild head injury.
Emotional and psychosocial aspects of mild head injury.
复制标题
轻度头部损伤的情绪和心理社会方面。
DOI：
10.1055/s-2008-1041060
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发表时间：
1994
影响因子：
2.7
通讯作者：
Wincze,JP
中科院分区：
文献类型：
--
作者：
Andrasik,F;Wincze,JP
在美国，每年大约有500,000例新的颅脑损伤病例。大多数患者都是年轻的成年男性，其中一半的轻中度头部损伤是由车祸造成的。尽管人们对严重闭合性头部创伤的海平面进行了大量研究，但很少有人关注轻度闭合性头部损伤(MHI)的影响。因为三菱重工占头部创伤入院患者的大部分，这种缺乏关注的情况令人困惑。即使在今天，三菱重工是否会有后遗症的说法仍然存在争议，必须给出一个三菱重工的统一定义。一些人坚持认为，只有意识丧失才能被认为是MHI，而另一些人则认为意识丧失是不必要的。他说，重要的是要更多地关注MHI，并认识到它是一个严重的问题。即使排除了MHI的许多生理副作用，颅脑侮辱也伴随着一系列心理后遗症，包括职业和人际关系问题、药物滥用、抑郁、焦虑和许多其他心理社会困难。
There are approximately 500,000 new cases of cranial trauma in the United States each vear. Most vatients are young, adult males and half of the mild to moderate head iniuries are the result of automobile accidents.'Although much research has been devoted to the seauelae of severe closed head trauma, little attention has been given to the effects of mild closed head injury (MHI). Because MHI makes up the majority of hospital admissions for head trauma, this lack of attention is perplexing.'Even today the notion that there are sequelae of MHI continues to be controversial, and a universal definition of MHI has vet to be offered. Some insist that a loss of consciousness must occur in order for an injury to be considered MHI, whereas others believe that a loss of consciousness is not necessary.'It is important that more attention be devoted to MHI and to recognize it for the serious problem that it is. Even excluding the many physiologic side effects of MHI, cranial insult also carries with it a host of psychologic sequelae that include problems with vocational and interpersonal relationships, substance abuse, depression, anxiety, and a large variety of other psychosocial diffic~ lties.~