交通事故致颅脑创伤1386例临床分析

Clinical Study on1386Patients with Traffic Head Injury

目的研究交通事故致颅脑损伤的临床特点及预后。方法对1386例交通事故致颅脑损伤患者按致伤类别、合并及并发症分组,并计算其生存概率(Ps)。结果1386例中,生存组1232例,死亡组154例,死亡率11.11%,两组按并发症相比较显著差异(P<0.01);原发脑干伤、脊髓损伤及合并胸部损伤死亡率较高。结论交通事故颅脑损伤伤情复杂,其中脑挫裂伤、颅骨骨折、原发脑干伤、颅内血肿发生率较高,是车祸致死主要原因:而患者合并伤中以胸及脊髓伤为主、并发症中肺部感染对预后影响最大。

Objective To evaluate the clinic fea-ture and the prognosis of the patients with traffic head injury.Methods1386patients with head injury caused by traffic accidents were evaluated according to the sexes of patients,the type of acci-dents,the complicated injury of other organs,and complications.Survival possibilities (Ps)among the groups were also predicated.Results There1232cases in the survival group,154cases in the death group.The mortality was of11.11%.There were sta-tistically significant difference between two groups(P<0.01)comparing with complications of head in-jury.Conclusions Head injury caused by traffic accidents is complex.The incidence of multiple in-tracranial hematoma,contusion and laceration of the brain,primary injury of the brain stem,and basic cranial fracture is higher,which is the main deathcause of patients with traffic trauma,Meanwhile,there were high incidence of severe chest injury and spinal cord injury in the patients of compount wound.Complications of pulmonary infection greatly affected on the trauma situation and prognosis of the patients.