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目的:了解头颅外伤患者眼运动神经麻痹的情况。方法:收集2006-03/2006-09 Shahid Rahnemon医院神经外科收治的300名头颅外伤患者的资料,包括眼科检查和调查问答,采用SPSS软件卡方和F检验进行数据分析。结果:300例患者中242例为男性(81. 1% ), 58例为女性(18.9% ),年龄为1~87(平均46)岁。意外跌伤是头部外伤最常见的原因,共247例患者(82. 3% )因此致伤;大多数患者的GCS得分为13~15(82.3% )。最多见的颅脑外伤为硬膜下腔、蛛网膜下腔出血。滑车神经或外展神经麻痹(28.6% )、其他眼运动神经麻痹或同时两处眼运动神经麻痹(常见第3颅神经和第4颅神经麻痹,14.3% )是最常出现的情况。结论:虽然头颅外伤同时出现颅神经麻痹的几率较小,但是在急诊时应根据情况进行神经眼科检查。
Objective: To understand the situation of oculomotor nerve paralysis in patients with craniocerebral injury. METHODS: Data were collected on 300 craniocerebral trauma patients admitted to the Department of Neurosurgery, Shahid Rahnemon Hospital from March 2006 to September 2006, including ophthalmological examinations and questionnaires. Data were analyzed using SPSS software chi-square and F-test. RESULTS: Of the 300 patients, 242 were male (81.1%), 58 were female (18.9%) and were 1-87 (mean 46) years. Accidental falls were the most common cause of head trauma. A total of 247 patients (82.3%) were injured. Most patients had a GCS score of 13-15 (82.3%). The most common traumatic brain injury for the subdural space, subarachnoid hemorrhage. Trochlear nerve or abducens nerve palsy (28.6%), other oculomotor palsy or both oculomotor palsy (common cranial nerve and cranial nerve plexus fourth, 14.3%) is the most common occurrence. Conclusion: Although craniocerebral traumatic cranial nerve paralysis at the same time the probability of minor, but in emergency should be based on the situation of neurological eye examination.