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Rehabilitation Practice and Science

Translated Title

兒童頭部外傷 551例之分析

Abstract

To investigate the nature of exposure factors, and effectiveness of countermeasures in head injuries in Taiwanese children with head injuries consecutively admitted to Chang Gung Memorial Hospital from Jan. 1985 to Dec. 1989. We analyzed the data by chart review. The analysis confirmed a boy to girl ratio of about 2.3 to 1. The largest number of head injuries was in children under 1 year, 4 to 5 years and more than 15 years of age. The most common place for head injuries to occur was outdoors, with the road contributing the most, while the bedroom was the most common site for indoor injuries to occur. The most common cause of pedicatric head injury was traffic accident (65%), of which most were hit by automobiles and motorcycles (59%). The next most common was falls (30%).Injuries were most common in summer (from May to August ) and clustered at 3:00-5:00 pm. Most children suffered from mild head injury (77.86%), but there were still 122 children with severe head injury (22.14%). Of the 25.23% of children with skull fracture, most had linear type. Fractures of clavicle and long bone were the most common concomitant skeletal fractures. The frontal, temporal and parietal accounted for the most focal sites of injury on computer tomogram in that order. Brain surgery was necessary in 19.60% of children. Fifty children (9.07%) were either discharged in a critical condition or died in hospital.

Language

English

First Page

131

Last Page

137

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