PATIENTS WHO TALK AND DETERIORATE

被引：33

作者：

ROCKSWOLD, GL

PHELEY, PJ

机构：

[1] Division of Neurosurgery, Hennepin County Medical Center, Minneapolis

[2] Department of Neurosurgery, University of Minnesota, Minneapolis

来源：

ANNALS OF EMERGENCY MEDICINE | 1993年 / 22卷 / 06期

关键词：

HEAD INJURY;

D O I：

10.1016/S0196-0644(05)82742-8

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Patients who ''talk and deteriorate'' are defined as those who utter recognizable words at some time after head injury and then deteriorate to a severe head-injured condition (Glasgow Coma Scale score of 8 or less) within 48 hours of injury. They represent a very small but important subgroup of patients with brain injury. In approximately 75% of these patients, the cause of this deterioration is intracranial hematoma. Despite the fact that talking indicates nonlethal impact brain injury, deterioration is a marker of poor prognosis. Outcome depends on early recognition of deterioration and rapid removal of mass lesions. The challenge for emergency physicians is to distinguish patients at risk for deterioration from the many patients evaluated after head injury.

引用

页码：1004 / 1007

页数：4

共 31 条

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