Base documentaire
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Pediatric craniocerebral wounds from plastic bullets : Prognostic implications, course, and outcome.
THE JOURNAL OF TRAUMA, vol. 41, n° 5, 1996, pages 859-863, 22 réf., ISSN 0022-5282, USA
PARET (G.), DEKEL (B.), YELLIN (A.), HADANI (M.), WEISSMAN (D.), VARDI (A.), HOFFMAN (C.) *, KNOLLER (N.), OHAD (G.), BARZILAY (Z.)
Pediatric Intensive Care Unit. The Chaim Sheba Medical Center. Tel Hashomer. ISR, Department of Pediatric Neurosurgery. The Chaim Sheba Medical Center. Tel Hashomer. ISR
Objective
To review our experience with craniocerebral injuries caused by plastic bullets, and to delineate prognostic factors for outcome.
Design
Retrospective case series of 29 patients presenting with plastic bullet-induced craniocerebral lesions.
Setting
Pediatric intensive care department of a tertiary care center.
Measurements and Main Results
Outcome was poor in 10 patients, good in 11, and two and six patients were moderately and severely disabled, respectively.
Statistical analysis showed prognostic significance of the admission Glasgow Coma Scale score, computed tomographic findings of intraventricular hemorrhage and midline shift, and metabolic studies including hypokalemia and hyperglycemia.
Conclusions
Plastic bullet-induced craniocerebral injuries carry a lower morbidity and mortality rate compared with other gunshot wounds.
However, plastic bullets do incur a significant risk of injury.
Their use should be carefully regulated.
Mots-clés BDSP : Traumatisme, Enfant, Homme, Epidémiologie, Mortalité, Morbidité, Hospitalisation, Pédiatrie, Pronostic, Système nerveux [pathologie], Système ostéoarticulaire [pathologie]
Mots-clés Pascal : Traumatisme, Crânioencéphalique, Enfant, Homme, Plaie pénétrante, Balle, Matériau plastique, Epidémiologie, Mortalité, Morbidité, Hospitalisation, Unité soin intensif, Pédiatrie, Pronostic, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Système ostéoarticulaire pathologie, Crâne pathologie
Mots-clés Pascal anglais : Trauma, Craniocerebral, Child, Human, Penetrating injury, Bullet, Plastic material, Epidemiology, Mortality, Morbidity, Hospitalization, Intensive care unit, Pediatrics, Prognosis, Nervous system diseases, Central nervous system disease, Cerebral disorder, Diseases of the osteoarticular system, Skull disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et TechniqueCote : 97-0045954
Code Inist : 002B16B. Création : 21/05/1997.
Banque de données en santé publique - http://www.bdsp.ehesp.fr