A Clinical Observation on Craniocerebral Injuries in Adults: Analysis of 1547 Cases.
- Author:
Sang Chul LEE
1
;
Sun Kil CHOI
;
Yong Sung LEE
;
Sang Youl LYU
;
Ki Young JANG
;
Doh Yun HWANG
;
Seung Koo KANG
Author Information
1. Department of Neurosurgery, Han Kang Sung Shim Hospital, Seoul, Korea.
- Publication Type:Original Article
- MeSH:
Accidents, Occupational;
Accidents, Traffic;
Adult*;
Brain;
Child;
Coma;
Craniocerebral Trauma*;
Female;
Hematoma;
Hematoma, Subdural;
Humans;
Incidence;
Infant;
Intracranial Hemorrhages;
Male;
Mortality;
Neurosurgery;
Rabeprazole;
Skull;
Skull Fractures;
Subdural Effusion
- From:Journal of Korean Neurosurgical Society
1977;6(2):435-452
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
During the five years from 1972 to 1976, 2308 cases of head injury were admitted to Han Kang Sung Shim Hospital and were treated in the department of neurosurgery. Of these, 1547 were adults aged 16 and over, and 761 were infants and children up to the age of 15. The results of clinical analysis of 761 cases of above series have been reported early in 1977. In this paper, a clinical analysis of 1547 adult cases of above series was performed and following results were obrained. 1) There were 1077 males and 470 females, and the proportion of male was much greater than female, male-female ratio was 2.3:1. 2) The age incidence was greater in the age group between 16 to 40, becoming maximal at the second decade. 3) Traffic accidents form by far the largest group (62%), and next are, in order of incidence, accidents due to blow or assault, fall from a height, simple fall, and industrial accidents. 4) Among the 1547 patients investigated, 20 of 1275 cases those conscious or confused on admission were died and 103 of 272 those semicomatose or comatose were died. 5) Skull fractures were seen in 504 cases, and nearly half of those, 242 or 48%, were linear fractures. 6) Of the 333 patients with intracranial hemorrhage or subdural hygroma, 181 were accompanied by skull fracture and epidural hematoma showed highest incidence, 80.46%. 7) Of 87 epidural hematoma, 69(79%) were found in the temporal and parietal fossae of the skulls, and of 70 subdural hematoma, 60(85.7%) were found in the parietal and temporal surface of brains. 8) Operation were carried out in 228 patients and surgical mortality was 24.5%, and subdural hematoma showed highest mortality, 40.0%. 9) Among the 228 surgical cases mortalities were 30% in those operation have been carried out within 6 hours of injury, 24% in those within hours 6 to 24, and 14% in those after 24 hours. The earlier the surgery had to be carried out, the higher operation mortality was noted. 10) The overall mortality in this series was 7.95%.
