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Retrospective clinical analysis was made on 884 cases of head trauma visited to Emergency Center of Wonkwang University Hospital and was treated in the Department of Neurosurgery from 1991. 1. 1 to 1991. 12. 31. A clinical analysis of 884 cases was performed and following results were obtained. 1. The peak incidence of age was third decade and the sex ratio was 2.1 : 1, predominant in male. 2. The predominant month and seasonal incidence were in October and Autumn, respectively. 3. The cause of head trauma were traffic accidents(69.8%), and next, in order of incidence, fall down(12.4%), slip down(9.5%), and human trouble(4.0%). The kinds of traffic accidents were private vehicle(31.1%), motorcycle (20.6%), truck(12.9%), taxi(7.2%). bongo(9.2%), bus(4.7%). bicycle(9.2%). and cultivator(1.5%). pedestrian’s traffic accident was common more than that of Passenger. 4. The regional distribution was Iri(53.8%). Iksan(20%), Okgu and Kunsan (10.0%) 5. The percentage of patients received emergency treatment on scene was 2.9% in Iri-city, 6.7% in Iksan, 18% in Kimje. 92.3% in Buan. 52.2% in Kunsan and Okgu, and 100% in Seocheon. 6. The mental states of patients on arrival to Emergency Center was alert (77.7%). and heavy mental state(10.6%). 7. The interval from injuries to arrival of Emergency Center was within 30 minutes in 50.7%, and was within 3 hours in 86.2%. 8. The loss of consciousness after trauma was shown in 75% of epidural hematoma patients, and severely injured head trauma patients had negative light reflex and positive babinski’s sign. 9. The brain CT was performed in 884 cases. Abnormal findings were observed in 290 cases(32.8%), including epidural hematoma(57, 19.6%), subdural hematoma(55, 18.9%), and intracerebral hemorrhage(36, 12.4%). 10. The operation were carried out in 65 cases and mental states after operation showed alert(41.5%), and heavy mental stale (58.5%). 11. 209 cases(23%) had skull fracture, and fracture sites were temporo-parietal region(23.5%). frontal region(14.5%). and skull base(29.9%). 12. The mortality rate at discharge was 51cases(17.6%) among 884cases. 13. In location of hematoma, epidural hematoma was found in temporal region (45.6%), and subdural hematomain frontal region(70.9%). and intracerebral hematoma in frontal region(55.5%). 14 Associated injuries following head trauma were extremity fracture(35.5%). facial fracture(21.9%), rib fracture(9.9%) and spine injury(6.7%) in orders.
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