台灣地區外傷性顱內出血之研究
Survey of Intracranial Hematoma in Taiwan
林家瑋(Jia-Wei Lin);蔡宛真(Wan-Chen Tsai);邱文達(Wen-Ta Chiu);林天仁(Tien-Jen Lin);江培業(Pei-Yeh Chiang);林乾閔(Chien-Min Lin);陳俊甫(Jin-Fu Chen);甘宜弘
(I-Hung Kan);蔡行瀚(Shih-Han Tsai);蔡卓城(Cheuk-Sing Choy)
摘要
本研究收集 1994 年 7 月 1 日至 2002 年 6 月 30 日間，台灣地區 55 家醫院頭部外 傷病例，共 90,250 位，其中顱内出血的病人共 27,585 位。顱內出血的病例中，
男性是女性的 2.65 倍。發生原因以車祸最多(67.6%)，其次為跌落(25.0%)。車禍 中，又以機車車禍為最(69.6%)。顱内出血病例中，有 27.1％属重度傷害，且有 3,180 人(13.5%)死亡。但是在邏輯式回歸中，可以明顯看出年纪愈大，發生顱内 出血的機會愈高；發生機車車禍時，没戴安全帽發生顱内出血的機會是有戴安全 帽的 1.4 倍；車祸情形中，行人發生顱内出血是汽車車祸的 1.6 倍，脚踏車是汽
車的 1.55 倍，機車则是汽車的 1.28 倍。
Abstract
The survey was conducted over an 8 years period from July 1, 1994 to June 30, 2002 and the data were collected from 55 major hospitals. A total of 90,250 traumatic brain injury (TBI) cases were collected, 27,585 were identified to have traumatic intracranial hematoma (TICH) among them. The incidence rate of males is 2.65 times higher than the females. Traffic injury (67.6%) and falls (25.0%) were the two leading causes of TICH. Among traffic injury, motorcycle-related traumatic injury had the highest incidence rate (69.6%). In these TICH patients, 27.1% had severe head injuries, and 3,180(13.5%) were death. In the logistic regression studies, the elder patients had highest risk of developing TICH. Patient without motorcycle helmet had higher risk (OR=1.40) of developing TICH than that with helmet. Pedestrian injury (OR=1.61) had the highest risk of developing TICH, followed by bicycle injury (OR=1.55) and motorcycle injury (OR=1.28) when compared to automobile injury.
