CHẤN THƯƠNG SỌ NÃO Ở TRẺ EM ĐIỀU TRỊ TẠI BỆNH VIỆN ĐA KHOA TỈNH THÁI BÌNH

Abstract

Objectives: To assess some clinical characteristics and lesions on CT scan of pediatric traumatic brain injury treated at the Department of Neurological &, Spinal Surgery, Thai Binh General Hospital. Methods: Cross-sectional descriptive study on 67 cases of traumatic brain injury in children treated at Thai Binh General Hospital from February to September 2020. Result: 67/534 patients, accounting for the rate (12,5%): including 51 males (76.1%), 16 females (23.9%), Median age 10.1, youngest: 2 years old, oldest: 18 years old. Kindergarten (20.9%), primary school (40.3%); junior secondary school (14.9%); high school (23.9%). Traffic accidents, the most common cause, accounted for (55.2%). The rate of minor traumatic brain injury according to GCS: 65 patients (97.0%);  moderate: 2 patients (3.0%). CTscan: skull fracture (31.3%); epidural hematoma (28.4%); both these lesions (22.4%). Management attitude: Conservative treatment for 63 patients (94.0%); surgery for 4 patients (6.0%). Discharge results: Good-66 patients (98.5%). No deaths. Conclusion: The cause of traumatic brain injury in children due to traffic accidents is still high; Primary school age accounts for the highest percentage, so it is necessary to pay more attention to this subject to reduce the rate of trauma in general and traumatic brain injury in particular.