MỘT SỐ ĐẶC ĐIỂM DỊCH TỄ LÂM SÀNG BỆNH NHÂN CHẤN THƯƠNG SỌ NÃO ĐIỀU TRỊ TẠI BỆNH VIỆN ĐA KHOA TỈNH THÁI BÌNH: NHÂN 534 TRƯỜNG HỢP

Abstract

Objectives: To assess some clinical epidemiological characteristics, lesions on CT scan in 534 craniocerebral injury patients treated at the Neurological &Spinal Surgery of Thai Binh General Hospital. Methods: Cross-sectional descriptive study carried out in 534 craniocerebral injury patients treated at Thai Binh Provincial General Hospital from February to September 2020. Results: 534 patients included 371 males (69.5%), 163  females (30.5%), median age 54.5, youngest: 2 years old, oldest: 96 years old.  Working age group (57.3%), elderly people (30.2%). The most common cause was traffic accidents (60.5%). Rate of minor craniocerebral injuries according to GCS: 501 patients (93.8%);  moderate: 23 patients (4.3%); severe: 10 patients (1.9%). CT scan: Subdural hematoma (28.7%); Subarachnoid hemorrhage (27.3%); skull fracture (12.7%); 2 patients having associated injuries (8.8%); 3 lesions (3.0%). Management: conservative treatment for 473 patients (88.6%); surgery for 51 patients (9.5%).  Discharge results: 512 patients (95.9%) were recuperated; vegetative state: 5 patients (0.9%); One died (0.2%). Conclusion: traffic accidents were the major cause of traumatic brain injuries; common in makes and working age group. The rate of conservative treatment was the most, surgery only accounted for (9.5%), mortality in the study was (0.2%).