儿童创伤性脑损伤患者出现或发展脑的结果
Sirin Falconi1, Alex Demopoulos1, Reagan Collins1
1School of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.
World neurosurgery
|July 5, 2023
概括
早期去压缩切除术改善了创伤性脑损伤 (TBI) 和的儿科患者的治疗结果. 这种干预至关重要,特别是在农村环境中,尽管男性死亡率较高.
科学领域:
- 儿科神经外科 儿科神经外科
- 创伤重症监护中心的重症监护中心.
- 儿科神经学 儿科神经学
背景情况:
- 创伤性脑损伤 (TBI) 是儿童死亡和残疾的主要原因.
- 关于儿科TBI结果的研究有限,特别是在脑方面.
- 这项研究侧重于农村环境中患有的儿科TBI患者.
研究的目的:
- 为了调查TBI和脑的儿科患者的结果.
- 分析这些患者使用的干预策略.
- 评估干预措施在农村社区环境中的影响.
主要方法:
- 对50名患有TBI和的儿科患者 (2011-2020年) 的回顾性审查.
- 收集的数据包括伤害机制,成像上的,格拉斯哥昏迷尺度 (GCS) 分数,内压力,格拉斯哥结局尺度 (GOS),停留时间和死亡/发病率.
- 对所执行的手术和30天后的结果进行分析.
主要成果:
- 早期去压缩切除术改善了带的严重TBI的发病率,尽管与非手术方法 (29.4%) 相比,整体死亡率更高 (48.4%).
- 患有TBI和的男性儿科患者的死亡率比女性 (26.3%) 高 (51.6%).
- 受伤时的年龄和行为可能会影响结果.
结论:
- 儿童的创伤性脑损伤 (TBI),特别是,在没有确立的治疗指南的情况下提出了重大挑战.
- 积极的手术干预,如去压缩性脑膜切除术,显示出改善农村儿科TBI病例的结果的希望.
- 需要进一步的研究来确定影响这一弱势群体结果的因素.
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