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The epidemiology and clinical management of craniocerebral injury caused by the Sichuan earthquake.

机译:四川地震造成的颅脑损伤的流行病学和临床管理。

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BACKGROUND: Earthquake is one of the most devastating natural disasters that threaten human lives. Worldwide more than 3 million deaths have been caused by earthquakes in recent 20 years. AIM: To analyze clinical features of head injuries after Sichuan earthquake. MATERIALS AND METHODS: From May 12 to June 12, 2008, Departments of Neurosurgery in major Hospitals in Sichuan Province admitted 1368 patients with head injuries caused by the Sichuan earthquake; the epidemiology, mechanism, severity, complications, treatments and outcome of head injury were retrospectively analyzed. RESULTS: Of the 1,368 patients, 755 were men and 613 women. Collapsing building was the most important cause of head injury. Most of the patients, 85% had mild to moderate head injury. The type of injury was open scalp injury in 65% of patients. About 47% of the head-injured patients were admitted within 72 h after earthquake. Skeletal bone fracture was the most common associated injury (9%). Only 98 patients received surgery. Glasgow Outcome Scale on discharge or transfer was: 5 in 1,121 (82%) patients, 4 in 173 (13%) patients, and 3 or less in 74 (5%) patients. Overall 33 (2%) patients died. CONCLUSIONS: The characteristics of Sichuan earthquake-related head injury are quite distinct. Early standardized treatment is important to have better outcomes.
机译:背景:地震是威胁人类生命的最具破坏力的自然灾害之一。最近20年来,全球地震造成300万人死亡。目的:分析四川地震后头部受伤的临床特点。材料与方法:2008年5月12日至6月12日,四川省主要医院神经外科收治了1368例四川地震造成的颅脑损伤患者。回顾性分析颅脑损伤的流行病学,发病机制,严重程度,并发症,治疗方法和结局。结果:在1368例患者中,男性755例,女性613例。建筑物倒塌是头部受伤的最重要原因。大多数患者中,有85%患有轻度至中度的头部受伤。 65%的患者为开放性头皮损伤。地震后72小时内,约有47%的头部受伤患者被收治。骨骼骨折是最常见的相关损伤(9%)。仅98例患者接受了手术。格拉斯哥出院或转院的结果量表是:1,121(82%)名患者中的5名,173(13%)名患者中的4名,74(5%)名患者中3名或更少。总共有33名患者(2%)死亡。结论:四川地震相关的颅脑损伤特征十分明显。早期标准化治疗对于取得更好的结果很重要。

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