COMPARISON OF MANAGEMENT OUTCOME OF PRIMARY AND SECONDARY REFERRED PATIENTS WITH TRAUMATIC EXTRADURAL HEMATOMA IN A NEUROSURGICAL UNIT

被引:53
作者
POON, WS [1 ]
LI, AKC [1 ]
机构
[1] CHINESE UNIV HONG KONG,PRINCE WALES HOSP,DEPT SURG,SHA TIN,HONG KONG
来源
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 1991年 / 22卷 / 04期
关键词
D O I
10.1016/0020-1383(91)90016-8
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
A total of 104 patients with a traumatic extradural haematoma in a 5-year period were studied. The mortality of the 71 patients managed primarily by the neurosurgical unit was less than that of the 33 patients secondarily transferred from the district general hospital: 4 per cent vs 24 per cent. This better result was associated with a shorter delay between the time of conscious level deterioration and decompressive operation: 0.7 +/- 1.0 h vs 3.2 +/- 0.5 h. Direct admission of all head injured patients to a neurosurgical unit resulted in significant reduction in mortality and morbidity in patients with an extradural haematoma.
引用
收藏
页码:323 / 325
页数:3
相关论文
共 13 条
  • [11] Simpson, Heyworth, McLean, Extradural haemorrhage: strategies for management in remote places, Injury, 19, (1988)
  • [12] Teasdale, Galbraith, Murray, Et al., Management of traumatic intracranial haematoma, Br. Med. J., 285, (1982)
  • [13] Weston, Admission policy for patients following head injury, Br. J. Surg., 68, (1981)