Đặc điểm lâm sàng, cận lâm sàng của bệnh nhân chấn thương sọ não từ 18 tuổi trở lên điều trị tại khoa Ngoại thần kinh Bệnh viện Đa khoa Xanh Pôn năm 2021

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Tác giả: Trung Kiên Lê, Văn Thêm Lê, Thu Hà Nguyễn, Thị Nhuyên Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học và công nghệ - Trường Đại học Thành Đông, 2023

Mô tả vật lý: tr.8

Bộ sưu tập: Metadata

ID: 340798

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Đề tài “Mô tả đặc điểm lâm sàng, cận lâm sàng bệnh nhân chấn thương sọ não từ 18 tuổi tại khoa Ngoại Thần kinh - Bệnh viện Đa khoa Xanh Pôn năm 2021” được tiến hành với mục đích góp phần nâng cao kỹ năng lâm sàng, cận lâm sàng và củng cố kiến thức chấn thương sọ não (CTSN) cho sinh viên. Mục tiêu cụ thể: Mô tả một số đặc điểm lâm sàng, cận lâm sàng và so sánh tỉ lệ vỡ xương sọ giữa nhóm bệnh nhân có tụ máu ngoài màng cứng (NMC) với nhóm bệnh nhân không tụ máu NMC do CTSN của bênh nhân từ 18 tuổi tại khoa Ngoại Thần kinh - Bệnh viện Đa khoa Xanh Pôn. Thiết kế nghiên cứu mô tả cắt ngang 50 bênh nhân có độ tuổi từ 18 đến 65
Trong đó, độ tuổi thường gặp là 18-29 (30%). Phân bố về giới: 35 nam (70%) và 15 nữ (30%). Có nhiều nguyên nhân: do tai nạn giao thông có 39 người (78%) và do tai nạn khác có 11 người (22%). Thời gian từ khi bị tai nạn đến khi được nhập viện: trước 4 giờ chiếm tỷ lệ cao nhất (64%) và sau 12 giờ là thấp nhất (6%). Đặc điểm lâm sàng, gồm 3 nhóm: tỉnh táo (72%), rối loạn tri giác (22%) và quên sự việc xảy ra (6%). Kết quả chụp cắt lớp vi tính ( CLVT): hầu hết có các loại tổn thương (98%). So sánh tỉ lệ vỡ xương sọ giữa nhóm bệnh nhân có tụ máu NMC với nhóm bệnh nhân không có tụ máu NMC: Sự khác biệt có ý nghĩa thống kê với P= 0,03.Project "Description of clinical and subclinical characteristics of patients with traumatic brain injury from 18 years old at the Department of Neurosurgery - Saint Paul General Hospital in 2021" was conducted with the aim of contributing to improving clinical and paraclinical skills and consolidating knowledge of traumatic brain injury (TBI) for students. The specific objectives were to describe some clinical and paraclinical characteristics and compare the rate of skull fracture between the group of patients with epidural hematoma (MI) and the group of patients without hematoma due to TBI. The study included 50 patients aged 18 to 65 years in a cross-sectional descriptive design. The most common age group was 18-29 (30%). Gender distribution comprised 35 men (70%) and 15 women (30%). The causes of traumatic brain injury varied, with 39 cases (78%) resulting from traffic accidents and 11 cases (22%) from other accidents. The time from the accident to hospital admission showed that the highest rate (64%) occurred within 4 hours, while the lowest rate (6%) occurred after 12 hours. Clinical features were classified into three groups: alertness (72%), perceptual disturbances (22%), and forgetting events (6%). Computed tomography (CT) scan results revealed the presence of lesions in the majority of cases (98%). A statistical analysis comparing the rate of skull fracture between the group of patients with hematoma and the group of patients without hematoma yielded a significant difference with P = 0.03.

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