Retrospective clinical analysis was made on 884 cases of head trauma visitied to ER 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 was at the age of third decade and the sex ratio was 2.1 : 1, predominant in male.
2) The predominant month and seasonal incidence were October and Autumn.
3) Traffic accidents form the largest group (69.8%), and next are, in order of incidence, falldown (12.4%), slipdown (9.5%), human trouble (4.0%), and The kinds of vehicle were private vehicle (3.1%), motorcycle (20.6%), t6ruck (12.9%), taxi
(7.2%),
bongo (9.2%), bus (4.7%), bicycle (9.2%), and cultivator (1.5%). passenger's traffic accident was more than pedestrian.
4) The regional distribution was Iri (53.8%), Iksan (20%), Okgu and Kunsan (10.0%)
5) The percentage of emergency treatment on scene was Iri(2.9%), Iksan (6.7%), Kimje (18%), buan (92.3%), Kunsan and Okgu (52.2%), and Seocheon (100%).
6) The mental states at arrival to Emergency Room was alert (77.7%), and heavy mental state (10.6%).
7) The interval within 30 minutes from injury to Emergency Room was 50.7% and within 3 hours was 86.2% and it was rather faster than expected.
8) The loss of consciousness after trauma was epidural hematoma 75%, and severely injured head trauma patients have negative light reflex and positive babinski's sign.
9) The brain CT was performed in 884 cases. abnormal findings were observed in 32.8%, including epidural hematoma (19.6%), subdural hematoma (18.9%), and intracerebral hemorrhage (12.4%).
10) The operation were carried out in 65 cases and mental states after operation showed alert (41.5%), and heavy mental state (58.5%).
11) Skull fracture were 209 cases (23%), and fracture sites were temporoparietal region (23.5%), frontal region (14.5%), and skull base (29.9%).
12) The mortality rate at discharge was 17.6% (51 cases).
13) In temporal region. 45.6% were found in epidural hematoma, and frontal region were found in subdural hematoma (70.9%) and intracerebral hematoma (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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