Clinical analysis of 28 children suffering from intracranial hematoma and multiple injuries following traffic accidents.
OBJECTIVE
To evaluate the result of diagnosis and treatment of intracranial hematoma and multiple injuries caused by road traffic accidents.


METHODS
Twenty-eight patients, aged from 1 to 14 years, receiving craniotomy and other surgical treatments were retrospectively reviewed.


RESULTS
Among the 28 cases, 23 cured with the recovery rate of 82.3%, 2 had a sequel of moderate disability, and 3 died from severe brain injury, hemorrhagic shock, and other visceral complications. The clinical symptoms and signs were severe and perplexing. The major characters included: severe head injury, usually combined by multiple injuries, and easy of access to missed diagnosis and misdiagnosis.


CONCLUSIONS
The occurrence of infection is high after traffic accidents as a result of depression of humoral and cellular immunity, long-term bed rest, and fractures of limbs. Hence, on the basis of maintaining vital signs, the management of primary wound is essential to reduce infection and underlying death. In addition to the management of brain injury, concurrent injuries should also be highlighted so as to reach a good result for their patients.
Li
Jiang-Shan
JS
Department of Neurosurgery, Huangjiang Hospital, Dongguan 523750, China. ljs-home@126.com
Cheng
Cheng
C
Jiang
Yong-Hao
YH
D000063:Accidents, Traffic; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003399:Craniotomy; D005260:Female; D006801:Humans; D007223:Infant; D020198:Intracranial Hemorrhage, Traumatic / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D009104:Multiple Trauma / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*