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EFFECTS OF HYPOXIA IN HEAD INJURY
Journal of the Korean Society of Emergency Medicine ; : 79-86, 1997.
Artículo en Coreano | WPRIM | ID: wpr-173239
ABSTRACT
To evaluate the effects of hypoxia to the outcome of patients with head injury, we analyzed 223 patients prospectively. We divided patients into two groups; without hypoxia and with hypoxia. Hypoxia was defined as PaO29)(8.9%). Hypoxic insult to the already-injured brain was closely associated with increased mortality and morbidity. Of the 37 patients with hypoxic insult, 23(62.2%) showed poor outcome (vegetative state & dead); only 48 patients(25.8%) without hypoxia showed poor outcome(p<0.001). Among hypoxic group, the incidence of poor outcome was especially high in patients injured in vehicular accidents(55.6%), in low consciousness level(GCS<8) on admission(80.7%), and in intracranial mass lesions(67.9%). Care for the patient with head injuries should start at the scene of injury. 100% oxygen should be administered via a suitable airway during transportation to the hospital, and early positive-pressure ventilation may be necessary.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Oxígeno / Transportes / Encéfalo / Incidencia / Estudios Prospectivos / Mortalidad / Respiración con Presión Positiva / Coma / Estado de Conciencia / Urgencias Médicas Tipo de estudio: Estudio de incidencia / Estudio observacional / Estudio pronóstico Límite: Humanos Idioma: Coreano Revista: Journal of the Korean Society of Emergency Medicine Año: 1997 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Oxígeno / Transportes / Encéfalo / Incidencia / Estudios Prospectivos / Mortalidad / Respiración con Presión Positiva / Coma / Estado de Conciencia / Urgencias Médicas Tipo de estudio: Estudio de incidencia / Estudio observacional / Estudio pronóstico Límite: Humanos Idioma: Coreano Revista: Journal of the Korean Society of Emergency Medicine Año: 1997 Tipo del documento: Artículo