KẾT QUẢ ĐIỀU TRỊ CHẤN THƯƠNG SỌ NÃO NHẸ TẠI BỆNH VIỆN ĐA KHOA TỈNH THÁI BÌNH

Abstract

Objectives: To assess clinical characteristics, lesions on CT scan images and outcomes of mild traumatic brain injury treatment. Methods: A descriptive cross-sectional study was conducted in 501 patients with mild traumatic brain injury (GCS from 13-15 points) treated at Neuro-Spinal Surgery Department of Thai Binh General Hospital in the period from February to May, September 2020. Results: 501 patients, including 344 males (68.7%), 157 females (31.3%).  Median age: 44.96 ± 21.92 years old; the youngest: 2 years old;  the oldest: 96; (19-59) age group accounted for (57.6%); (60-96) age group made up (29.5%). Traffic accidents were in the highest rate (60.9%), domestic accidents (29.5%), occupational accidents (5.0%). Clinical symptoms: headache was comprised of (88.6%); scalp wounds (38.9%); scalp hematomas (24.8%); vomiting (20.0%).  64.3% of patients with mild traumatic brain injuries who were scanned with CT scan had intracranial lesions, of which 1 lesion accounted for 45.3%, 2 combined lesions formed (15.0%), from 3 combined lesions and over contributed (4.0%). The majority of patients were treated non-operatively, only 42 patients (8.4%) during follow-up and treatment worsened and had indications for surgery. Most of the hospital discharge results were good, accounting for (97.6%), but there were still (0.4%) having vegetative state and death (0.2%). Conclusion: Mild traumatic brain injuries with intracranial hematomas amounted to (64.3%), most of the medication treatment gave good outcomes, however, the progress was complicated, there were still patients who developed severe conditions which left severe sequelae and deaths.