Clinical analysis of 28 children suffering from intracranial hematoma and multiple injuries following traffic accidents.
- Author:
Jiang-Shan LI
1
;
Cheng CHENG
;
Yong-Hao JIANG
Author Information
- Publication Type:Journal Article
- MeSH: Accidents, Traffic; Adolescent; Child; Child, Preschool; Craniotomy; Female; Humans; Infant; Intracranial Hemorrhage, Traumatic; etiology; physiopathology; surgery; Male; Multiple Trauma; etiology; physiopathology; surgery
- From: Chinese Journal of Traumatology 2004;7(6):378-379
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo evaluate the result of diagnosis and treatment of intracranial hematoma and multiple injuries caused by road traffic accidents.
METHODSTwenty-eight patients, aged from 1 to 14 years, receiving craniotomy and other surgical treatments were retrospectively reviewed.
RESULTSAmong 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 symptoms 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.
CONCLUSIONSThe 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.
