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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
|
| pubmed:dateCreated |
1992-9-14
|
| pubmed:abstractText |
The authors reviewed the records of 927 patients admitted to Surgical Clinic University of L'Aquila from November 1986 to July 1990 with head trauma. The 5.6% (52 patients) had skull fractures. 23 (2.4%) patients sustained significant intracranial sequelae from their injuries, but only 4 (17.3%) of these also sustained fractures, 17 did not. Of the four fractures 1 were simple, 2 was depressed and 1 was basilar. The patients (17) without a skull fracture and positive CT were transferred to a neurosurgical department, where 12 underwent operation. The patients (4) with a skull fracture and positive CT and 2 patients with a depressed skull fracture and negative CT were transferred to a neurosurgical department where 5 (except 1 patient with simple fracture) underwent operation. The severity of coma was evaluated according to Glasgow Coma Scale (G.C.S.). The 2.4% of patients had the Glasgow Coma Scale = or less than 7. The CT or MNR are indicate in the presence of neurologic abnormalities. Overall mortality rate was about 0.53%. In the severe head trauma (G.C.S. = or less than 7) was of 17,3. In conclusion: the skull radiography is not indicated of routine and are performed for the evaluation of depressed fractures, of fracture of the cranial base and of cervical vertebrae: the MNR was found to be superior to CT and to be very effective in the detection of traumatic head lesions: the Glasgow Coma Scale is important for monitoring, stratification and prognostic evaluation of patients.
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| pubmed:language |
ita
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:status |
MEDLINE
|
| pubmed:issn |
0003-469X
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| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
63
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
163-7; discussion 168
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| pubmed:dateRevised |
2006-11-15
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| pubmed:meshHeading |
pubmed-meshheading:1503373-Adolescent,
pubmed-meshheading:1503373-Adult,
pubmed-meshheading:1503373-Aged,
pubmed-meshheading:1503373-Aged, 80 and over,
pubmed-meshheading:1503373-Brain,
pubmed-meshheading:1503373-Brain Injuries,
pubmed-meshheading:1503373-Child,
pubmed-meshheading:1503373-Child, Preschool,
pubmed-meshheading:1503373-Coma,
pubmed-meshheading:1503373-Diagnosis, Differential,
pubmed-meshheading:1503373-Female,
pubmed-meshheading:1503373-Glasgow Coma Scale,
pubmed-meshheading:1503373-Humans,
pubmed-meshheading:1503373-Infant,
pubmed-meshheading:1503373-Male,
pubmed-meshheading:1503373-Middle Aged,
pubmed-meshheading:1503373-Prognosis,
pubmed-meshheading:1503373-Skull Fractures,
pubmed-meshheading:1503373-Tomography, X-Ray Computed
|
| pubmed:articleTitle |
[Head trauma in a general surgery department: observations, diagnostic and therapeutic indications].
|
| pubmed:affiliation |
Clinica Chirurgica, Università degli Studi di L'Aquila.
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| pubmed:publicationType |
Journal Article,
Comparative Study,
English Abstract
|