外伤性脑损伤患者基底颅骨骨折及其并发症。

Mehdi Shafiei, Bahram Aminmansour, Mehdi Mahmoodkhani, Mohammadamin Seyedmoalemi, Donya Sheibani Tehrani
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摘要

目的:由于外伤性脑损伤多发于青年人群,他们是社会的主要劳动力和建设者,因此考虑脑损伤对他们的影响是很重要的。在这项研究中,我们探讨了颅底颅骨骨折患者的临床表现、并发症和预后。方法:本横断面研究于2021年3月至2022年3月在伊朗伊斯法罕Kashani医院进行。本研究通过人口普查将颅底颅骨骨折患者纳入研究一年。记录的患者信息分为两部分:人口统计信息,包括年龄和性别;疾病信息,包括意识丧失、脑膜炎迹象、手术需要和神经系统检查。结果:本研究纳入100例患者,其中89例为男性。最常见的并发症是创伤部位疼痛,其次是创伤部位的瘀伤和出血。浣熊眼漏和脑脊液漏分别占19%和32%。结论:由于创伤的发生给国家卫生系统带来了经济负担,我们必须识别其后果和问题,并通过实施教育措施尽可能地预防其发生。
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Basilar Skull Fractures and Their Complications in Patients With Traumatic Brain Injury.

Objective: Since traumatic brain injury is more common in young people, who are the main workforce and builders of society, it is important to consider the effects caused by brain injury on them. In this study, we investigated the clinical manifestations, complications, and prognosis of patients with basilar skull fractures.

Methods: This cross-sectional study was conducted from March 2021 to March 2022 at the Kashani Hospital, Esfahan, Iran. Patients with basilar skull fractures were included in this study by census for one year. Recorded patient information was divided into two parts: demographic information, including age and sex, and disease information including loss of consciousness, signs of meningitis, need for surgery, and neurologic examination.

Results: In this study, 100 patients were included, of whom 89 were men. The most common complication was pain at the site of the trauma, followed by bruising and bleeding from the site of the trauma. Raccoon eyes and cerebrospinal fluid leakage were observed in 19% and 32% of the patients, respectively.

Conclusion: As the occurrence of trauma has an economic burden on the country's health system, we must identify its consequences and problems and prevent its occurrence as much as possible by implementing educational measures.

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