小儿外伤性急性弥漫性脑肿胀的临床特点

The posttraumtic acute diffuse brain swelling of children compared with the posttraumatic acute diffuse brain swelling of adult

目的 探讨小儿外伤性弥漫性脑肿胀 (PADBS)的发病率及临床特点。方法 12岁以下为小儿组 ,12岁以上为成人组 ,所有病人经CT扫描诊断 ,观察指标为 :入院时格拉斯哥昏迷计分法 ,颅内压 ,中间清醒期 ,癫痫发作 ,瞳孔变化 ,低血压及低氧血症 ,结果用卡方检验统计。结论 小儿组PADBS发病率高 ,癫痫发作及瞳孔变化者多 ,死亡率低 ,较少有中间清醒期 ,统计学卡方检验有显著性差异。结论 小儿PADBS与成人PADBS相比 ,发病率高 ,病情重 。

Objective: Posttraumatic acute diffuse brain swelling(PADBS) is often found in clinical practice and seriously affects the outcome. The disease is most frequently found in childish patient. The objective of this search will be to find the attach rate and clinical features of the PADBS of children. Methods: The patients under 12 year-old belong to childish group. The patients over 12-year-old belong to adult group. Glasgow coma score,ICP the conscious time during coma,epilepsy,the change of pupilla,hypertension and hypoxia were observed by us when the patients were admitted to the hospital, all results were analyzed with chisquare test.Results: The features of PADBS of children group are that the attach rate, epilepsy is much higher than adult(P<0.01), the clinical findings is more serious than adult(P<0.01), the change of pupilla is more than adult(0.05>P>0.01), but the death rate is less than adult(0.05>P>0.01)and the conscious time during coma is less than adult(P<0.01).Conclusion: Compared PADBS of children with the PADBS of adult, we have found that children has much higher attach rate, more seriously the clinical findings and better outcome than adult. This conclusion can partial guildes neurosurgeons when they diagnosis and treatment PADBS.