儿童轻型颅脑外伤急诊头颅CT阳性的危险因素分析

Analysis of Risk Factors of Positive Emergency Head Computed Tomography in Children with Mild Craniocerebral Trauma

目的分析儿童轻型颅脑外伤头颅CT阳性的相关危险因素,为临床医生进行头颅CT检查决策时提供参考。方法前瞻性收集2021年6—12月就诊于四川大学华西医院急诊科行急诊头颅CT检查的451例轻型颅脑外伤患儿的资料,通过单因素及多因素Logistic回归分析,寻找轻型颅脑外伤患儿头颅CT阳性的独立危险因素。结果轻型颅脑外伤患儿头颅CT结局阳性105例,阳性率23.3%,多因素Logistic回归分析结果表明,受伤至就诊时间、枕部受伤相对于额部受伤、颞部受伤相对于额部受伤、颅骨凹陷、头皮血肿是轻型颅脑外伤患儿头颅CT阳性结局的独立危险因素。结论受伤至就诊时间、枕部与颞部外伤、颅骨凹陷及头皮血肿是轻型颅脑外伤儿童头颅CT阳性结局的独立危险因素。

Objective To analyze the risk factors of positive head computed tomography(CT)in children with mild craniocerebral trauma,so as to provide reference for clinical decision for the use of head CT.Methods Prospectively,the data of 451 children with mild craniocerebral trauma who received emergency head CT examination in the emergency department of West China Hospital of Sichuan University from June to December 2021 were collected.Univariate and multivariate Logistic regression analysis were performed to find the independent risk factors for positive head CT in children with mild craniocerebral trauma.Results Head CT results were positive in 105 cases(23.3%).Multivariate Logistic regression analysis showed that time from injury to clinic visit,occipital to frontal area of injury,temporal to frontal area of injury,skull depression and scalp hematoma were independent risk factors for positive outcome of head CT.Conclusion Time from injury to clinic visit,occipital injury,temporal injury,skull depression and scalp hematoma are independent risk factors for positive outcome of head CT in children with mild craniocerebral trauma.