Journal of Trauma and Injury

  • 제20권2호
  • /
  • Pages.83-89
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  • 2007
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  • 2799-4317(pISSN)
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  • 2287-1683(eISSN)
대한외상학회 (The Korean Society of Traumatology)
권호 표지

2세 미만 소아의 경도 두부 외상 후 두개골 골절 및 두개내 병변의 위험 인자

The Clinical Usefulness of Halo Sign on CT Image of Trauma Patients

  • 정종일 (인제대학교 일산백병원 응급의학과) ;
  • 김아진 (인제대학교 일산백병원 응급의학과) ;
  • 신동운 (인제대학교 일산백병원 응급의학과) ;
  • 노준영 (인제대학교 일산백병원 응급의학과) ;
  • 김경환 (인제대학교 일산백병원 응급의학과) ;
  • 김홍용 (동국대학교병원 일반외과) ;
  • 박준석 (인제대학교 일산백병원 응급의학과)
  • Jeong, Jong Il (Department of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Kim, Ah Jin (Department of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Shin, Dong Wun (Department of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Rho, Jun Young (Department of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Kim, Kyung Hwan (Department of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Kim, Hong Yong (Department of Surgery, DongGuk University International Hospital) ;
  • Park, Jun Seok (Department of Emergency Medicine, Inje University Ilsan Paik Hospital)
  • 투고 : 2007.08.09
  • 심사 : 2007.10.22
  • 발행 : 2007.12.30
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초록

Purpose: This research was performed to determine which clinical signs and symptoms of brain injury are sensitive indicators of skull fracture (SF) and intracranial injury (ICI) in head injured children. Methods: We conducted a prospective study of minor head trauma in children younger than 2 years of age for a 1-year period. Skull radiographs, brain computed tomography (CT), and data forms, including mechanism of injury, symptoms, physical findings, and hospital course, were completed for each child. Results: Of 137 study subjects, 17 (12.4%) had SF/ICI. Falls were the most common mechanism of injury, and heights of fall above 1 meter were associated with incidence of SF/ICI (p<0.05). Scalp abnormalities were not associated with incidence of SF/ICI. As for clinical symptoms, lethargy and a grouping of features (irritability & vomiting) were associated with incidence of SF/ICI (p<0.05). The incidence of seizure, loss of consciousness, vomiting, irritability, and scalp abnormality did not differ significantly between those with normal radiologic findings and those with SF/ICI. Among asymptomatic patients, 11 (14.5%) patients had SF/ICI, and among patients with normal scalp findings, 9 (12.7%) patients had SF/ICI. Conclusion: Clinical signs and symptoms, except for lethargy and a grouping of features (irritability & vomiting), were not sensitive predictors of SF/ICI. Nevertheless, SF/ICI occurred among normal children. In such a case, a liberal policy of CT scanning is warranted.

키워드

과제정보

연구 과제 주관 기관 : 인제대학교

참고문헌

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