重型闭合性颅脑损伤病例流行病学特点分析  

Analysis of Severe Closed Craniocerebral Injury

作　　者：姜燕平[1] 刘宝松[1] 王正国[1] 杨志焕[1] 

机构地区：[1]第三军医大学野战外科研究所,重庆400042

出　　处：《创伤外科杂志》1999年第4期202-204,共3页Journal of Traumatic Surgery

摘　　要：目的分析临床重型闭合性颅脑损伤的流行病学特点和损伤分布规律。方法收集近年来入院治疗的重型闭合性颅脑损伤病人资料，进行分类统计分析。结果交通事故是闭合性颅脑损伤的主要原因，可导致额、颞、顶及枕多部位损伤。颅脑损伤病人以年轻人为主，男性明显多于女性。额部受力时，额叶脑挫裂伤发生率最高；顶部受撞击可致明显的脑干挫裂伤；枕部受撞时表现出明显的额、颞叶对冲伤。结论交通事故是颅脑损伤的主要原因，随受力部位的不同颅脑损伤也发生相应变化。Objective To analyze the epidemiological characterstics and the distribution pattern of severe closed craniocerebral injuries. Methods The cases of severe closed craniocerebral injuries which were treatd in our hospital in recent years were analyzed. Results Traffic accident was the main cause of closed craniocerebral injuries. Many parts injuries(including frontal, temporal, parietal and occipital injuries)might be involved in traffic accidents. Most of the patients wer young people, and the male patients were much more than the female petients. The contusion and laceration of frontal lobe possessed the highest incidence in the frontal impact.Obvious brain stem injury occurred when the head was impacted at parietal region. Contrecoup injury, mainly invoving the frontal and tamporal lobes,was most sevre in impact. Conclusion Traffic accident was the main cause of closed craniocerebral injuries. The distribution of injuries changed corresponding to the variation differece of impacting region.

关 键 词：颅脑损伤 交通事故 撞击伤 流行病学 

分 类 号：R651.150.1[医药卫生—外科学]