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KMID : 0376419770010000073
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Chonbuk University Medical Journal
1977 Volume.1 No. 0 p.73 ~ p.80
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A Clinical Observation on Craniocerebral Injuries.
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Abstract
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In modern society, characterized by variability of daily life and complicated industrial structure, the danger of unexpected accident is always threatening the people.
About two thirds of the patients with traffic accident have had injury of various forms. Among the patients with head injury due to traffic accident, the most common cause of death is head injury itself, about 70%. I have studied 71 cases of head injury patients, who were admitted and managed at Department of Neurosurgery, Jeonbug National University Hospital from July 1975 to October 1976, in clinical aspect, and also have compared with other articles. Followings are results.
1. There were 56 men and 15 women ; male to female ratio was about 4 : 1.
2. The most common cause of head injury was traffic accident.
3. The favorable site of linear skull fracture was occipital bone, and that of depressed skull fracture was frontal bone.
4. Altered consciousness of various form was observed in about 66% of total head injury patients. Lucid interval was observed in about 37% of the cases with intracranial hemorrhagic lesions.
5. Convulsive seizure was observed in 7% and vomitiing occured in abort 24% of total head injury patients.
6. Half of the cases with skull fracture were accompanied by intracranial hemorrhagic lesions. About 79% of cases with intracranial hemorrhagic lesion were accompanied by skull fracture.
7. Mortality rate of the patients with head injury was 19.7% and their operative mortality rate was 28.6%. Operative mortality rate in the cases with subdural hematoma was 45.5%. All the operated case of epidural hematoma was survived.
8. Sequelae were noted in 25.4%.
9. Associated injury with head injury was found in about 42% of the total patients.
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