汶川地震后颅脑损伤儿童36例临床分析

目的 探讨汶川大地震后儿童颅脑损伤的临床特点.方法 收集汶川大地震后四川大学华西医院神经外科住院的36例地震致颅脑损伤儿童的临床资料(男21例,女15例;年龄3月～14岁.平均年龄8.1岁;轻型30例,中型4例,重型2例;建筑物倒塌砸伤30例,切割伤3例,逃生跌伤3例),对其伤情分类、致伤原因、治疗方法 及预后等进行回顾性分析.结果 36例颅脑损伤儿童中出院(或转院)时GOS评分为恢复良好33例,中残3例.结论 汶川大地震后建筑物倒塌砸伤为主要致伤原因,颅脑损伤儿童以轻型居多,要注意颅骨骨折的治疗,多数可恢复良好.

Head injuries in children in Wenchuan earthquake: analysis of 36 cases

Objective To analyze the characteristics of head injuries in children in Wenchuan earthquake. Methods The clinical data of 36 children (21 boys and 15 girls, aged 3 monthsto 14 years with a mean age of 8.1 years) with head injuries in the earthquake receiving treatment in West China Hospital were analyzed. The children sustained mild (30 cases), moderate (4 cases) or severe (2 cases) head injuries due to building collapse (30 cases), cuts (3 cases), or falling (3 cases). The injury types, causes of the injury, treatment methods and outcomes of the children were retrospectively analyzed. Results Building collapse was the most common cause of head injuries in the children in earthquake, accounting for 83.3% of the cases involved. All the 36 children survived the injuries, and upon discharge or transfer, 33 of the children had Glasgow outcome scores (GOS) indicating good recovery, and 3 had moderate disabilities. Conclusion Building collapse was the most common cause of head injuries in Wenchuan earthquake. The majority of the children with head injuries had mild injury with favorable outcomes. Attention should be given to appropriate management of skull fractures in these children.