外伤性脑损伤的发生率及轻、重度ct临床表现的比较

 Ayesha Umar, A. John, Muhammad Ahmad Naeem, Hussnain Rashid Butt, Abid Ali
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摘要

摘要:背景:外伤性脑损伤及其影响是一个巨大的公共卫生问题。每年,全世界大约有5000万人受到脑外伤的影响。头部损伤是导致沮丧和死亡的主要神经学原因,尤其影响青少年。85%到90%是轻度或中度脑外伤。目的:了解外伤性脑损伤的ct表现及轻、重度分级情况。材料与方法:本研究对100例就诊于公立医院急诊科的有头部外伤史的患者进行评估。均行GCS检查,并行CT检查。颅脑非对比CT,自颅底至顶点厚度为3mm。分析使用SPSS (Statistical Package for Social Sciences version 21)。结果:100例TBI患者中,男性占66%,女性占34%。跌落(38%)、暴力(2%)和其他原因(5%)造成的创伤总体上都少于RTA(55%),特别是在16-26岁年龄组的患者中。不同的外伤性脑损伤包括EDH(22%)、IPH(23%)、SAH(9%)、SDH(27%)、挫伤(4%)和梗死(15%)。值得注意的是,65%的病例观察到大多数脑损伤为轻度TBI,超过中度(21%)和重度TBI(14%)。结论:该研究得出65%的获得性头部创伤患者为轻度TBI,其余21%和14%分别为中度和重度TBI。硬膜下和实质内出血是TBI中最常见的诊断类型。
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Prevalence of Traumatic Brain Injuries and Comparison of Its Clinical Findings from Mild to Severe Grade on Computed Tomography
Quick Response Code Abstract: Background: Traumatic brain injury and its implications lead to huge public health issues. Annually, TBI affects approximately 50 million individuals all around the world. Head injury is the leading neurological reason for despondency and fatality, particularly influencing the youngsters. 85% to 90% are mild or moderate TBI. Objective: To find prevalence of traumatic brain injuries on computed tomography and that of severity classification from mild to severe grade. Material and Methods: 100 patients with history of head trauma were evaluated in this study, which came to emergency department of Public sector. GCS was taken and all were referred to CT. Noncontrast CT of brain was performed with slice thickness of 3mm from skull base to vertex. And analysis was done using (SPSS) Statistical Package for the Social Sciences version 21. Results: Of 100 TBI patients, men composed 66% and women 34%. Falls (38%), violence (2%) and other causes (5%) all collectively cause fewer traumas than RTA (55%) specifically in patients of age group 16-26 years. Different traumatic brain injuries were noted including EDH (22%), IPH (23%), SAH (9%), SDH (27%), Contusion (4%) and infarction (15%). Noteworthy, most of the brain injuries were observed as mild TBI in 65% of cases accounting for more than moderate (21%) and severe TBI (14%). Conclusion: The study concludes that 65% of patients who acquired head trauma had mild TBI while remaining 21% and 14% consumed moderate and severe TBI respectively. Subdural and intraparenchymal hemorrhages are most frequent type of diagnosis in TBI.
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