A PROSPECTIVE-STUDY TO IDENTIFY HIGH-YIELD CRITERIA ASSOCIATED WITH ACUTE INTRACRANIAL COMPUTED-TOMOGRAPHY FINDINGS IN HEAD-INJURED PATIENTS

被引：45

作者：

SCHYNOLL, W

OVERTON, D

KROME, R

WESOLOWSKI, D

WANG, AM

WILSON, A

COFFEY, M

机构：

[1] Department of Emergency Medicine, Beloit Memorial Hospital, Beloit, WI

[2] Department of Emergency Medicine, Michigan State University, Kalamazoo Center for Medical Studies, Kalamazoo, MI

[3] Department of Emergency Medicine, Detroit Receiving Hospital, Detroit, MI

[4] Division of Neuroradiology, Department of Diagnostic Radiology, William Beaumont Hospital, Royal Oak, MI

[5] Department of Emergency Medicine, William Beaumont Hospital, Royal Oak, MI

[6] Research Institute, William Beaumont Hospital, Royal Oak, MI

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 1993年 / 11卷 / 04期

关键词：

COMPUTED TOMOGRAPHY; HEAD INJURY; HEAD TRAUMA; INTRACRANIAL INJURY;

D O I：

10.1016/0735-6757(93)90160-D

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

We conducted a multicenter, prospective study of head-injured patients to identify high-yield clinical criteria for acute intracranial injuries. Emergency patients with a history of blunt head trauma occurring within 2 weeks and who underwent nonenhanced cranial computed tomography (CT) were entered onto the study during a 12-month period. Of the 264 patients, 32 (12%) had abnormal CT findings. Nine high-yield variables were associated with abnormal CT findings: alcohol use before injury, antegrade amnesia, prolonged loss of consciousness, anisocoria and/or fixed and dilated pupils, abnormal Babinski reflex, focal motor paralysis, cranial nerve deficit, Glasgow coma scale score of less than 15, and clinical signs of basilar skull fracture. Patients 2 years old or younger or older than 60 years of age showed a significantly greater prevalence of abnormal CT findings than patients of other ages. © 1993.

引用

页码：321 / 326

页数：6

共 21 条

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