Astudy Of Multiple Trauma Associated With Head Injuries :

Raef Farouk Ahmed Hafez

This series surveys the patients received at BenhaTeaching Hospital over a period of six months from the beginnigof July to the end of December 1982, who sustainedcerebral injuries with other trauma or traumata:1) The total number of the studied cases was 130 patients,all of them were diagnosed to have ”post concussionstate” in addition to other trauma or traumata.2) Males constituted 72,31% (94 cases), and females constituted27,69% -36 cases) .•3) The seasonal incidence was higher during December andwas lower in JUly and August 1982.4) The highest age incidence range (21-30 years) (30,77%of the cases).5) Accidents constituted the majority of cases 67,69%(88 cases), criminal assaults were in 41 cases (31,54%),and only one case of self-extermination.6) The incidence of injuries was 2,6 injuries per patient.7) Road accidents were the causes of injuries in 37,69% of theall cases.8) Most of the patients had only ·tow injuries (head injuryand another body trauma) (54,62% of the cases).9) The most frequent injuries were scalp and facial injuries,skull fractures, lower limbs fractures, upper limbsfractures, chest injuries, wounds of limbs, abdominalinjuries and spinal injuries, in that order of frequency.(Table V).10) The mortality rate was 20,76% (in 27 cases).11) Skull fractures constituted 51,85% of fatal cases (14cases), and it seemed to be the major cause of death inthis series, followed by chest injuries, scalp and facialinjuries, and abdominal injuries.12) The association of chest injuries, abdominal injuries orpelvic fractures with head injuries was a grave condition.13) Finally, we recommend a better arcbives and notes recordingsystem, and a nation-lICideimprovement in the ambulanceand emergency care system.