〖医学〗头部外伤--从临床医学走入预防医学教材-课件.ppt

;頭部外傷;國外;國內;P; 骨折 ─ 線狀、粉碎、開放、凹陷 腦震盪(Cerebral Concussion) 腦挫傷(Contusion) DAI (Diffuse Axonal Injury) Raccoon’s eyes Battle’s sign;顱內出血;Incidence of Hematoma;Diffuse Axonal Injury(DAI);Classification of Brain Herniation;Risk of intracranial hematoma(requiring removed)in adult attending A and E departments after head injury.;後 遺 症;結 果;臨床(20年) 預防(1年);An Epidemiological Study of TBI and The Effect of Prevention Strategies;How to implement a prevention strategy?;1. To know the basic concept of injury prevention;To know the basic concept of injury prevention;The Haddon Models;The four E’s of intervention;2. To know the epidemiology of injury in your country;International Comparison of Injury Deaths (case per 100,000);The Trend of Injury Deaths in Taiwan,1990-2001;The Trend of Traffic Injury Deaths in Taiwan, 1990-2001;3. To perform an epidemiological study of head injury;Epidemiology of Head Injury - A 14 year Study;Step 1; Incidence Mortality Cause by TA I-Lan 311/105 53/ 105 60﹪ Hualien 437/105 72/ /105 60.9﹪ Taitung 341/ /105 83/ 105 53.5﹪ Peng-Hu 260/ 105 84/ 105 73.8﹪; Incidence Cause by TA Nationwide 230/105 69.3﹪ ;Step 4 Intervention 1st stage 1994 Feb. - 1994 June 2nd stage since June, 1997 ;Analysis of Head Injury by Age 1989-1998;Analysis of Means of Transportation Involved in Head Injury by Age;4. To implement a prevention strategy;Priority;The Trend of Traffic Injury Deaths in Taiwan, 1990-2001;Intervention;The Motorcycle Helmet Law ;Intervention --- step 1. Helmet Use Enforcement in Taipei City, Feb.- May, 1994;0;Numbers of head injuries by month, Taipei City , Taiwan ;Numbers of operated non-operated head injuries by month, Taipei City ,Taiwan ;Glasgow outcome scale in head injuries by month, Taipei City ,Taiwan;Preliminary Facts Extrapolation of Helmet Use Enforcement;Intervention --- step 2. Helmet Use La