소아와 성인간의 급성 경막외 혈종환자의 임상적 특성비교 = Clinical characteristics of traumatic epidural hematoma a comparison between children and adults

다국어 초록 (Multilingual Abstract)

512 epidural hematoma cases were treated in Chungnmn National University Hospital Neurosurgery Department, between 1986 and 1995: 79 were children(1-15 years) and 433 were adults(16-83 years). The authers attempt to outline the various clinical chacteristics and significant prognostic factors of epidural hematoma which are different in children and adults.
The result confirm that children with traumatic epidural hematoma are less likely to have incidence from head trauma, associated extracranial injury, skull fracture, temporal located hematoma, and immediately surgery, but are more likely to have high score of preoperative GCS, prompt pupil response, conservative treatment, short duration of coma, good outcome. Causes of injury by motor-vesicular accident and associated intradural lesion are not significant different rate in children and adults
Compared with prognostic factors, cause of injury, hematoma amount and bleeding point on surgery are significant prognostic factors in adults, but are not prognostic factors in children
In same score of preoperative GCS and same duration of coma, highly severe neurologic states ( below 7 of GCS, both dilated fixed pupil ) have bad outcome in children as well as adults without significant difference.
Clinical index of preoperative GCS and pupillary response that have been used in decision of operation time is different in children and adults. Though children are performed delayed operation, observing GCS and pupillary response, have good outcome. Otherwise, adults need operation in good GCS and pupillary response as possible as, because of rapid progression.

목차 (Table of Contents)

• 목차
• I. 서론 = 1
• II. 대상 및 방법 = 2
• III. 결과 = 3
• IV. 고찰 = 12
• V. 결론 = 15
• Reference = 16
• Abstract = 18