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KMID : 03772197819780000021
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Medical Journal of Chosun Univercity
1978 Volume.3 No. 1 p.21 ~ p.33
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A Clinico-statistical Consideration on Head Injuries of Children
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金炯根/Kim, Heuyng Keun
文宰奎/鄭耀翰/Moon, Jaekye/Chung, Yohan
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Abstract
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421 cases age 16 and under who were sustained head injuries because of accidents and later admitted to several university hospitals in Seoul, Korea: from May 1, 74 to April 30, 76 were analyzed in the points of several age groups, causes, post-traumatic epilepsy, and result of treatment.
The results were as follows:
1. Highest cause was road-traffic accidents(64.6%) and next, home accidents(29.0%).
2. Among the road-traffic accidents, 0-6 aged graup occupied 48.5%, 47.0% was caused by the high speed of taxis which could have prevented with proper education, and political management.
3. According to seasonal variations of accidental head injuries in this paper, May(15.7%). June(l2.2%) and July(12.4%) were high incidence.
4. Comparing with road-traffic accident in adults, frontal and facial bone fractures were involved frequntly; in home and sohool accidents, occipital area was traumatized most frequently.
5. Cerebral concussion(47.5%) and linear and basilar skull fractures(31.l%). were recorded in the aspects of types and degrees of head trauma.
6. Contrary to adult cases, acoustic nerve(26.5%), facial nerve(l7.2%) and olfactory nerve(6.0%) were involved in incidence of post-traumatic cranial nerve palsy.
7. Incidence of post-traumatic epilepsy was 6.0% in children and 5.0% in adults.
8. High fatality rate(5%) being due to all cases of this analysis were seriously injured and 20 of 21 of deaths had expired within 48 hours after trauma.
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