原著（頭部外傷データバンク）
GCS 3点の重症頭部外傷の現状：頭部外傷データバンクから
2011 年 34 巻 1 号 p. 7-10
詳細
2011 年 34 巻 1 号 p. 7-10
Severe head injured patients presenting with Glasgow Coma Scale (GCS) score of 3 have been hesitated to treat aggressively. We analyzed present status of patients with GCS score of 3 from the Project 2004 in the Japan Neurotrauma Data Bank.
Among 1,101 cases registered, 805 cases with GCS score of 8 or less on admission. Of those, 215 cases with GCS score of 3 were classified the survival group (51 cases) and the dead group (164 cases) and compared each group.
These results showed that the characteristics associated with favorable outcome including absence of cardiopulmonary arrest, no abnormality of pupil findings, stable condition of respiration and circulation, serum glucose level (less than 184 mg/dl), absence of initial CT findings including skull base fracture, pneumocephalus and subarachnoid hemorrhage, no serious extracranial injures including Injury Severity Scale score of less than 25, critical care including intracranial pressure monitoring and temperature management.
We suggest that it is important to treat brain and systemic problems aggressively in severe head injured patients with GCS score of 3.
