Một số đặc điểm của tổn thương dập não do tai nạn giao thông đường bộ tại thành phố Hà Nội qua giám định pháp y năm 2022 - 2023=Characteristics of concurrent brain injury caused by road traffic accidents in Hanoi city through forensic examination in 2022-2023

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Tác giả: Sỹ Hùng Lưu, Thanh Thuỷ Lưu, Đức Nhự Nguyễn, Xuân Hà Trịnh

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Nghiên cứu y học (Đại học Y Hà Nội), 2024

Mô tả vật lý: tr.28-36

Bộ sưu tập: Metadata

ID: 244698

Thêm vào giỏ

Nghiên cứu nhằm mô tả các đặc điểm của tổn thương dập não do tai nạn giao thông đường bộ qua giám định pháp y. Nghiên cứu cắt ngang trên 300 nạn nhân tử vong do tai nạn giao thông đường bộ bị dập não được khám nghiệm tại Bộ môn Y pháp - Trường Đại học Y Hà Nội, Khoa Giải Phẫu bệnh - Bệnh viện Hữu Nghị Việt Đức và Trung tâm Pháp y Hà Nội trong năm 2022 - 2023. Các đối tượng chủ yếu là nam giới (70%), nhóm tuổi 15 - 29 chiếm đa số (41,3%), tuổi trung bình của nạn nhân là 39,1 ± 18,9. Nguyên nhân tử vong thường gặp là dập não và đa chấn thương (45,7%), đa số nạn nhân tử vong tại chỗ (64,0%) hoặc chỉ có thời gian sống thêm sau tai nạn <
6h (16,3%). Dập não đa ổ chiếm tỷ lệ 24,7%
dập não khu trú và dập não rộng chiếm tỷ lệ (7,3%). Các nạn nhân bị tai nạn giao thông đường bộ thường bị tổn thương tại nhiều vị trí (278/300) và tính chất tổn thương kết hợp 221/300). Loại tổn thương dập não thường gặp là dập não tại nơi bị tác động (266/300). Có 276/300 nạn nhân bị vỡ xương sọ. Vị trí vỡ xương sọ chủ yếu ở vùng thái dương (187/300), tiếp đến là vùng chẩm (167/300), và vùng trán (144/300), vùng nền sọ sau (144/300).The aims of the study are to describe the characteristics of traumatic brain injuries caused by road traffic accidents through forensic examination. Cross-sectional study on 300 victims who died from road traffic accidents with brain contusions examined at Department of Forensic Medicine of Hanoi Medical University and Department of Anatomy of Viet Duc University Hospital, and the Forensic Medicine Center Hanoi in 2022 - 2023. The subjects were mainly men (70%), age group 15 - 29 was the majority (41.3%), and the average age of the victims was 39.1 ± 18.9. Common causes of death were brain contusion and multiple injuries (45.7%), most victims die on the spot (64.0%) or only have a survival time of <
6 hours after the accident (16.3%)). Multifocal brain contusion accounts for 24.7%
Localized brain contusion and extensive brain contusion accounted for 7.3%. Road traffic accident victims were often injured at multiple locations (278/300) and the combined nature of injuries is 221/300). The most common type of brain injury is brain contusion at the affected area (266/300). There were 276/300 victims with skull fractures. The location of skull fractures was mainly in the temporal region (187/300), followed by the occipital region (167/300), the frontal region (144/300), and the posterior skull base (144/300).

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