【摘要】 【目的】探讨小儿外伤性急性弥漫性脑肿胀 (PADBS)的发病率及临床特点。【方法】78例PADBS患者 ,按年龄分为小儿组 (<15岁 ,n =2 6 )和成人组 (>15岁 ,n =5 2 )。所有病人经CT扫描诊断。比较两组入院时格拉斯哥昏迷 (GCS)计分、颅内压、中间清醒期、癫痫发作、瞳孔变化、低血压及低氧血症指标的变化。【结果】小儿组与成人组比较 ,PADBS发病率高 ,癫痫发作及瞳孔变化者多 ,死亡率低 ,较少有中间清醒期。【结论】小儿PADBS与成人PADBS相比 ,发病率高 ,病情重 ,但预后好。更多还原

【Abstract】 To investigate the morbidity and clinical features of posttraumatic acute diffuse brain swelling (PADBS) in children.According to their ages, seventy-eight patients with PADBS were divided into:①Children group (under 15 years old, n=26); and ②Adult group (over 15 years old, n=52). All patients were subjected to CT scanning diagnosis. When the patients were admitted to our hospital, Glasgow coma scores, intracranial pressure (ICP), the intermittent conscious time during coma, epileptic attacks, the changes in pupillae and indices of hypotension and hypoxemia were observed and compared between both groups .The results were analyzed with chi square test.The morbidity of PADBS in children group was much higher (P<0.01), with more epileptic attacks and pupillary changes; but the death rate was lower and the intermittent conscious time during coma was considerably rare as compared with the clinical manifestations in adult group.[Conclusion]Comparing PADBS between children and adults, the former group usually shows higher morbidity and more serious clinical findings, but with better prognosis.更多还原