TY - JOUR A2 - Ganau，马里奥AU - Bedry，晒图机AU - Tadele，Henok PY - 2020 DA - 2020年1月29日TI - 在阿瓦萨大学综合性专科医院，埃塞俄比亚南部小儿创伤性脑损伤的模式和结果：观察十字-Sectional研究SP - 1965231 VL - 2020 AB - 背景。创伤性脑损伤（TBI）是儿童死亡/残疾的最常见原因。格拉斯哥昏迷量表等参数可用于治疗/随访TBI的。童年TBI数据均来自撒哈拉以南非洲稀少。针对这项研究，以确定TBI结果在埃塞俄比亚南部的模式和预测。 方法。一项观察性横断面研究，由今年九月2017年阿瓦萨大学医院进行至九月2018结构式问卷被用于收集数据。显著协会是在宣布 P 的<0.05的值。 结果。有在研究期间，4258急诊室（ER）访问，并TBI促成317（7.4％）的情况下。The mean age of study subjects was 7.66 ± 3.88 years. Boys, predominantly above 5 years of age, comprise 218 (68.8%) of the study subjects with a male to female ratio of 2.2 : 1. Pedestrian road traffic accidents (RTA), 120 (37.9%), and falls, 104 (32.8%), were the commonest causes of TBI. Mild, moderate, and severe TBI were documented in 231 (72.9%), 61 (19.2%), and 25 (7.9%) of cases, respectively. Most of the TBI cases presented within 24 hrs of injury, 258 (81.4%). Recovery with no neurologic deficit, 267 (84.2%); focal neurologic deficit, 30 (9.5%); depressed mentation, 10 (3.2%); and death, 10 (3.2%), were documented. Signs of increased intracranial pressure (ICP) at admission [AOR: 1.415 (95% CI: 1.4058–9.557)], severe TBI [AOR: 2.553 (95% CI: 1.965–4.524)], presence of hyperglycemia [AOR: 2.318 (95% CI: 1.873–7.874)], and presence of contusion, diffuse axonal injury (DAI), or intracranial bleeding on the head computed tomography (CT) scan [AOR: 2.45 (95% CI: 1.811–7.952)] predicted poor TBI outcome. 结论。TBI促成儿科急诊室就诊7.4％。行人RTA和下降，早期呈现（<24小时损伤），和男孩中TBI的温和的形式是最常见的记录模式。ICP，高血糖，严重的脑外伤，挫伤，DAI或颅内出血等头部CT的存在预测预后不良。战略，以确保道路安全，并防止跌倒和动物有关的受伤和TBI后续的ICP和血糖控制的建议。SN - 2090年至2840年UR - https://doi.org/10.1155/2020/1965231 DO - 10.1155 /一百九十六万五千二百三十一分之二千○二十零JF - 急诊医学国际PB - Hindawi出版KW - ER -