公共卫生与预防医学论著

包头市多所医院小儿神经外科住院患儿流行病学调查与分析*

  • 杨峰 ,
  • 张永春 ,
  • 杨静 ,
  • 赵志军 ,
  • 綦学强 ,
  • 庞一强
展开
  • 1.包头市第四医院,内蒙古包头 014040;
    2.包头医学院;
    3.包头医学院第一附属医院;
    4.包头市中心医院;
    5.丽水市人民医院;
    6.长沙医学院
庞一强

收稿日期: 2024-12-04

  网络出版日期: 2025-05-14

基金资助

包头医学院科学研究基金项目(BYJJ-ZROM 202013);包头市卫生健康科技计划(WSJKKJ059)

Epidemiological investigation and analysis of hospitalized children in pediatric neurosurgery in many hospitals in Baotou City

  • YANG Feng ,
  • ZHANG Yongchun ,
  • YANG Jing ,
  • ZHAO Zhijun ,
  • QI Xueqiang ,
  • PANG Yiqiang
Expand
  • 1. Baotou Fourth Hospital, Baotou 014040, China;
    2. Baotou Medical College;
    3. The First Affiliated Hospital of Baotou Medical College;
    4. Baotou Central Hospital;
    5. Lishui People's Hospital;
    6. Changsha Medical College

Received date: 2024-12-04

  Online published: 2025-05-14

摘要

目的:探讨小儿神经外科住院患儿的临床特点和预后情况。方法:回顾性分析2018年1月至2020年12月包头市第四医院、包头医学院第一附属医院、包头市中心医院因小儿神经外科疾病住院患儿的一般情况、疾病分布、病情评估、诊疗手段、出院GOS评分(glasgow outcome scale)等临床资料。结果:(1)入选病例104例,年龄(8.3±3.9)岁。(2)脑血管疾病住院人数为54例(51.90%);颅脑损伤性疾病住院人数为50例(48.10%)。(3)住院最主要病因为外伤,为103例(99.04%),非外伤因素住院仅为1例(0.86%)。(4)保守治疗101例(97.16%);手术治疗3例(2.84%)。(5)住院患儿多为紧急及危重病例,共80例(76.92%),病情临床分级为一般的患儿为24例(23.08%)。(6)在脑血管疾病中,硬膜外出血为21例(38.90%);在外伤性疾病中,头面部软组织损伤为22例(44.00%)。结论:通过对上述医院神经外科住院儿童的流行病学分析发现,入院治疗的患儿中以急性创伤性颅脑损伤居多,经过积极的专业治疗,患儿预后良好。

本文引用格式

杨峰 , 张永春 , 杨静 , 赵志军 , 綦学强 , 庞一强 . 包头市多所医院小儿神经外科住院患儿流行病学调查与分析*[J]. 包头医学院学报, 2025 , 41(4) : 6 -10 . DOI: 10.16833/j.cnki.jbmc.2025.04.002

Abstract

Objective:To explore the clinical characteristics and prognosis of 104 children hospitalized for pediatric neurosurgical diseases in Baotou Fourth Hospital, the First Affiliated Hospital of Baotou Medical College, Baotou Central Hospital and other hospitals from 2018 to 2020. Methods: The clinical data of hospitalized children with pediatric neurosurgery diseases in the above hospitals from January 2018 to December 2020 were retrospectively analyzed. The general situation, disease distribution, disease assessment, diagnosis and treatment methods, discharge GOS score (glasgow outcome scale) and other clinical data were summarized and analyzed. Results: (1) A total of 104 patients were enrolled, with an average age of (8.3±3.9) years. (2) The number of inpatients with cerebrovascular disease was 54 cases (51.90%). The number of hospitalized patients with traumatic brain injury was 50 cases (48.10%). (3) The main cause of hospitalization was trauma, the number of cases was 103 cases (99.04%), and the number of non-traumatic factors was 1 (0.86%). (4) 101 cases (97.16%) were treated with conservative treatment, 3 cases (2.84%) were treated with surgical treatment. (5) Most of the hospitalized children were emergency and critical cases, with a total of 80 cases (76.92%), and 24 cases (23.08%) had general clinical classification. (6) In cerebrovascular disease, epidural hemorrhage was 21 cases (38.90%). In traumatic diseases, 22 cases (44.00%) had head and facial soft tissue injuries. Conclusion: Through the epidemiological analysis of the hospitalized children in the pediatric neurosurgery department of the above hospitals, it is found that the majority of the children admitted to the above hospitals are acute traumatic brain injury. After active professional treatment, the prognosis of the children is good.

参考文献

[1] 邹欣. 儿童住院神经系统疾病的变迁分析[D]. 重庆: 重庆医科大学, 2007.
[2] 宫剑. 积极促进我国小儿神经外科的发展[J]. 中国现代神经疾病杂志, 2023, 23(5): 383-387.
[3] Araki T, Yokota H, Morita A. Pediatric traumatic brain injury: characteristic features, diagnosis, and management[J]. Neurol Med Chir (Tokyo), 2017, 57(2): 82-93.
[4] Dewan MC, Mummareddy N, Wellons JC 3rd, et al. Epidemiology of global pediatric traumatic brain injury:qualitative review[J]. World Neurosurg, 2016, 91: 497-509.e1.
[5] Mendelsohn ME. Genomic and nongenomic effects of estrogen in the vasculature[J]. Am J Cardiol, 2002, 90(1a): 3f-6f.
[6] Bruce BB, Kedar S, van Stavern GP, et al. Idiopathic intracranial hypertension in men[J]. Neurology, 2009, 72(4): 304-309.
[7] Fylli C, Schipper IB, Krijnen P. Pediatric trauma in the netherlands: incidence, mechanism of injury and in-hospital mortality[J]. World J Surg, 2023, 47(5): 1116-1128.
[8] Amaranath JE, Ramanan M, Reagh J, et al. Epidemiology of traumatic head injury from a major paediatric trauma centre in New South Wales, Australia[J]. ANZ J Surg, 2014, 84(6): 424-428.
[9] Zhu H, Gao Q, Xia X, et al. Clinically-important brain injury and CT findings in pediatric mild traumatic brain injuries: a prospective study in a Chinese reference hospital[J]. Int J Environ Res Public Health, 2014, 11(4): 3493-3506.
[10] Al-Busaidi F, Allawat IM, Al-Araimi MA, et al. Pediatric traumatic brain injury in a high-income developing country:experience at a level 1 neuro-trauma center[J]. J Trop Pediatr, 2022, 69(1): fmac104.
[11] Shao J, Zhu H, Yao H, et al. Characteristics and trends of pediatric traumatic brain injuries treated at a large pediatric medical center in China, 2002-2011 [J]. PLoS One, 2012, 7(12): e51634.
[12] Heit JJ, Iv M, Wintermark M. Imaging of intracranial hemorrhage[J]. J Stroke, 2017, 19(1): 11-27.
[13] Shih RY, Burns J, Ajam AA, et al. ACR Appropriateness Criteria® Head Trauma: 2021 Update[J]. J Am Coll Radiol, 2021, 18(5s): S13-s36.
[14] Wang AC, Charters MA, Thawani JP, et al. Evaluating the use and utility of noninvasive angiography in diagnosing traumatic blunt cerebrovascular injury [J]. J Trauma Acute Care Surg, 2012, 72(6): 1601-1610.
[15] Ravindra VM, Riva-Cambrin J, Sivakumar W, et al. Risk factors for traumatic blunt cerebrovascular injury diagnosed by computed tomography angiography in the pediatric population:a retrospective cohort study[J]. J Neurosurg Pediatr, 2015, 15(6): 599-606.
[16] Harrigan MR, Griffin RL, Deveikis JP, et al. New ischemic lesions on brain magnetic resonance imaging in patients with blunt traumatic cerebrovascular injury[J]. J Trauma Acute Care Surg, 2020, 88(6): 796-802.
[17] Marder CP, Narla V, Fink JR, et al. Subarachnoid hemorrhage: beyond aneurysms [J]. AJR Am J Roentgenol, 2014, 202(1): 25-37.
[18] Dewan MC, Baticulon RE, Rattani A, et al. Pediatric neurosurgical workforce, access to care, equipment and training needs worldwide[J]. Neurosurg Focus, 2018, 45(4): E13.
[19] 宫剑. 试论小儿神经外科医师培养中需要注意的若干问题[J]. 科学中国人, 2014(13): 74-76.
[20] 王丽霞, 申昆玲, 范茂槐. 试论儿科专科医师培养模式问题及对策[J]. 中华医院管理杂志, 2005, 21(9): 605-607.
文章导航

/