Strategies of preventing missed diagnosis of severe traumatic brain injuries combined with multiple trauma
10.3760/cma.j.issn.1001-8050.2009.02.34
- VernacularTitle:重型颅脑创伤合并多发伤漏诊分析
- Author:
Chunlei DU
;
Bin LIU
;
Yuhai WANG
;
Jirong DONG
;
Wenbin SUN
;
Qinyi XU
;
Zhonghua SHI
;
Sang CAI
;
Xuejian CAI
- Publication Type:Journal Article
- Keywords:
Brain injuries;
Multiple trauma;
Diagnosis
- From:
Chinese Journal of Trauma
2009;25(2):120-123
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the strategies of reducing the incidence of missed diagnosis of severe traumatic brain injuries combined with multiple trauma. Methods Data of 432 patients with severe traumatic brain injuries and multiple trauma (ISS≥20) from January 2000 to August 2007 were analyzed retrospectively. All patients were divided into missed diagnosis group (MD group, n =54) and non-missed diagnosis group (NMD group, n =378) for correlation analysis on ISS, GCS, anatomical locations of the missed diagnosis, the time of delayed diagnosis and the prognosis. Results ISS was (42.97±10.94) points in MD group, with statistical difference compared with NMD group (P < 0.05). The patients with GCS≤8 in MD group was more than those in NMD group (P < 0.05). Conclusions It is effective to prevent missed diagnosis and improve the survival of patients with severe traumatic brain injuries combined with multiple trauma by judging injury severity quickly and precisely based on the principle of "life first" and repeated and systemic physical examination.
