28 cases of severe brain injury Clinical analysis of mental disorder.docVIP

 PAGE \* MERGEFORMAT 10 28 cases of severe brain injury Clinical analysis of mental disorder Keywords: mental disorders in severe brain injury Severe mental disorders after traumatic brain injury have occurred, manifested in their right mind when patients are transferred from the coma vague when awake irritability, irritability, anxiety, wounding, mental retardation and other symptoms, is caused by a common cause of mental disability. By collecting undergraduate from February 2005 to September 2007 with severe head injury caused by mental disorders in 28 cases are now on their characteristics and treatment during hospitalization following report. A clinical data 1.1 General information on 28 cases in this group 16 males and 12 females; aged 12 to 65 years old on average (33.8 ± 12.9) years of age. Injuries reasons: 10 cases of traffic accident injury, combat injury in 9 cases, 6 cases of fall injury, and other injuries in 3 cases. Injury treatment time: 10min ~ 10h were inside, where lt;30min 15 Li, 30min ~ 1h 6 Li, 1 ~ 3h 5 Li,gt; 3h 2 Li. Severe traumatic brain injury diagnostic criteria: Glasgow Coma indexing table (Glasgow coma scale, GCS) score, total score ≤ 8 hours after injury, a coma or coma again ≥ 6h [1]; According to the Chinese classification of mental illness programs and diagnostic criteria for the first 2 edition revised book on the brain organic mental disorders classification of mental disorders in the assessment and diagnosis [2]: traumatic brain injury caused by mental disorders, including mental retardation, forgotten syndrome, personality changes, psychotic symptoms, affective disorder (mania or depression), and neuropathy-like symptoms (including neurasthenia-like hysteria-like symptoms, anxiety-like symptoms, etc.). 1.2 All patients had clinical manifestations of varying degrees of coma, there is a clear period of 16 cases of the middle, GCS: 4 ~ 5 hours 19 cases, 6 to 8 points in 9 cases. A