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

Abstract

Objectives: To evaluate the rate, clinical symptoms, computed tomography images and treatment outcomes of 68 patients with skull fracture. Methods: A cross-sectional descriptive study was conducted among 68 patients with skull fracture treated at Neurological and Spinal Surgery Department at Thai Binh General Hospital from February to September 2020. Results: 68 traumatic skull fracture patients out of a total of 534 craniocerebral trauma patients in a period of 8 months, accounting for 12.7%, including 56 males, forming 82.4%; 12 female (17.6%); the youngest: 3; The oldest: 96;  Median age: 33.26 ± 22.15. Traffic accidents constituted 63.2%; domestic accidents (29.5%); occupational accidents (4.4%); violence (2.9%).  Clinical symptoms: headache comprised (88.2%); vomit (29.4%); head wound (33.8%); scalp swelling and hematoma   (27.9%); raccoon eyes (20.6%). Most of the patients were in minor status (GCS: 14-15 points: 91.2%). Computed tomography showed: Cranial dome facture (79.4%), skull base fracture (20.6%); epidural hematoma (39.7%), acute subdural hematoma (33.8%), subarachnoid hemorrhage (27.9%). The majority of the patients received conservative treatment which was contained in (88.2%), only (11.8%) underwent surgery. The majority of patients had good outcomes (97.1%).  Conclusion: Traumatic skull fracture accounted for the rate of (12.7%), common in men, mainly caused by traffic accidents.