지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
오류제보하기
Purpose: Several studies have reported that facial fractures were associated with traumatic brain injuries or cervical injuries. The purpose of this study was to analyze the relationship between the location of facial injury and traumatic brain hemorrhage in order to support future decisions for image evaluation in facial injury patients. Methods: In this retrospective cohort study, we evaluated facial injury patients without external head trauma who visited the emergency department at our hospital between January 1, 2014 and October 31, 2014. We divided the cohort into 2 groups: Facial injury patients with associated traumatic brain hemorrhage and those without traumatic brain hemorrhage. We compared the factors related to traumatic brain hemorrhage, such as facial injury locations, mechanism of accident, types of wounds, altered mentality, headache, and loss of consciousness between the two groups. Results: In 873 patients, 73 (8.36%) presented traumatic brain hemorrhage and the other 800 had no traumatic brain hemorrhage on a brain computed tomography (CT) scan. The rate of headache, loss of consciousness, altered mentality, traffic accident, fall down, fracture, temporal injury, frontal injury, multiple facial area injury, and upper facial area (frontal and upper orbital area) injury were higher in the traumatic brain hemorrhage group than in the non-traumatic brain hemorrhage group (p<0.05). The risk factors of traumatic brain hemorrhage were headache, loss of consciousness, altered mentality, facial bone fracture, and temporal area injury of the face. Conclusion: If a facial injury patient has any of the following factors temporal area injury, facial bone fracture, altered mentality, headache, and loss of consciousness, we have to evaluate the brain CT scan even if the patient had no external head injury.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Seelig JM / 1981 / Traumatic acute subdural hematoma: major mortality reduction in comatose patients treated within four hours / N Engl J Med 304:1511~1518
Mendelow AD / 1979 / Extradural haematoma: effect of delayed treatment / Br Med J 1:1240~1242
Teasdale GM / 1990 / Risks of acute traumatic intracranial haematoma in children and adults: implications for managing head injuries / BMJ 300:363~367
Rockswold GL / 1987 / of management in thirty-three closed head injury patients who 'talked and deteriorated' / Neurosurgery 21:51~55
Tintinalli JE / 2011 / Emergency medicine: a comprehensive study guide / McGraw-Hill :1730~1738
Mendelow AD / 1979 / Extradural haematoma: effect of delayed treatment / Br Med J 1:1240~1242
Teasdale GM / 1990 / Risks of acute traumatic intracranial haematoma in children and adults: implications for managing head injuries / BMJ 300:363~367
Rockswold GL / 1987 / of management in thirty-three closed head injury patients who 'talked and deteriorated' / Neurosurgery 21:51~55
Tintinalli JE / 2011 / Emergency medicine: a comprehensive study guide / McGraw-Hill :1730~1738
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