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首页> 外文期刊>Chinese Journal of Traumatology >Clinical analysis of 28 children suffering from intracranial hematoma and multiple injuries following traffic accidents
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Clinical analysis of 28 children suffering from intracranial hematoma and multiple injuries following traffic accidents

机译：交通事故后颅内血肿多发伤28例临床分析

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摘要

Objective: To evaluate the result of diagnosis and treatment of intracranial hematoma and multiple injuries caused by road traffic accidents. Methods: Twenty-eight patients, aged from 1 to 14 years, receiving craniotomy and other surgical treatments were retrospectively reviewed. Results: Among the 28 cases, 23 cured with the recovery rate of 82.3 %, 2 had a sequel of moderate disability, and 3 died from severe brain injury, hemorrhagic shock, and other visceral complications. The clinical sympotoms and signs were severe and perplexing. The major characters included: severe head injury, usually combined by multiple injuries, and easy of access to missed diagnosis and misdiagnosis. Conclusions: The occurrence of infection is high after traffic accidents as a result of depression of humoral and cellular immunity, long-term bed rest, and fractures of limbs. Hence, on the basis of maintaining vital signs, the management of primary wound is essential to reduce infection and underlying death. In addition to the management of brain injury, concurrent injuries should also be highlighted so as to reach a good result for their patients.
机译：目的：评价道路交通事故致颅内血肿及多发伤的诊治效果。方法：回顾性分析28例年龄在1岁至14岁之间，接受开颅手术和其他手术治疗的患者。结果：28例中，治愈23例，恢复率为82.3％，2例为中度残疾的后遗症，3例死于严重的脑损伤，失血性休克和其他内脏并发症。临床症状和体征严重且令人困惑。主要特征包括：严重的颅脑损伤，通常合并多发性损伤，并且容易发生漏诊和误诊。结论：交通事故后由于体液和细胞免疫力下降，长期卧床休息和四肢骨折，感染的发生率很高。因此，在维持生命体征的基础上，原发性伤口的管理对于减少感染和潜在死亡至关重要。除了处理脑部损伤外，还应强调并发损伤，以便为其患者取得良好的效果。

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