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目前顯示的是 五月, 2016的文章

成人頭部外傷何時要做電腦斷層呢?

這裡當一成人的昏迷指數是介在13到15分 的情況下什麼時候可以做電腦斷層掃描 分兩個狀況: 假如一成人Glasgow Coma Scale score of 15 and blunt head trauma that occurred within the previous 24 hours that caused loss of consciousness, definite amnesia, or witnessed disorientation. 病人若有以下一個以上條件就可以考慮 頭痛 Headache嘔吐年齡大於60歲 Age > 60 year-old藥物或酒精中毒 Drug or alcohol intoxication持續性的失憶 Persistent anterograde amnesia (deficits in short-term memory)鎖骨以上明顯外傷 Visible trauma above the clavicle抽搐 Seizure這是New Orleans Criteria for Determining if CT Is Indicated After Minor Head Injury

若一成人有minor head injury (defined as GCS score of 13 to 15 after loss of consciousness, definite amnesia, or witnessed disorientation from trauma) 病人若有以下一個以上條件就可以考慮 High risk  GCS score lower than 15 two hours after injury Suspected open or depressed skull fracture Any sign of basal skull fracture (e.g., hemotympanum, “raccoon eyes,” cerebrospinal fluid, otorrhea or rhinorrhea, Battle’s sign [bluish discoloration of the postauricular region]) Two or more episodes of vomiti…