32 patients with traumatic brain injury based Experience of treatment of multiple trauma.docVIP

 PAGE \* MERGEFORMAT 15 32 patients with traumatic brain injury based Experience of treatment of multiple trauma Of: Tan Hao, He Qi Yuan, Yao, Zhang Yuan, Zhang Lianyang [Abstract] Objective To study the high mortality and difficult to treat traumatic brain injury-based treatment strategy for multiple injuries. Methods Retrospective analysis of our center treated 32 cases in 2007 to head injury patients with multiple trauma-based medical records and its treatment methods, and summarize their treatment experience. Results 32 cases with head injury patients with multiple trauma, injury severity score (ISS) 10 ~ 34 minutes (average 17.42 points); Glasgow Coma Scale (GCS) lt;5 points in 4 cases , 5 to 8 minutes and 10 cases, 9 to 12 minutes and 18 cases; all injured in the early line of simple fixed, bleeding, dressing the body after the CT scan, 24 patients received emergency craniotomy injured exploration, hematoma evacuation procedures (including to hemicraniectomy unilateral in 8 cases, bilateral in 12 cases), while external fixation for fracture fixation in 10 cases, 8 patients with closed thoracic drainage, laparotomy, splenectomy in 1 case, 20 cases of wound debridement. treatment of postoperative ICU care, surgical treatment of uncertainty. cured 18 cases, 56.25%; 6 cases of mild disability, accounting for 18.75%; 2 cases of severe disability, accounting for 6.25%; plant survival in 2 cases, accounting for 6.25%; death 4 cases, accounting for 12.50%. Conclusion vital signs were stable in the maintenance of the body at the same time, priority brain injury, early surgical control of intracranial pressure, prevent hypoxia, hypotension, and fever due to secondary brain injury is combined cranial brain injury treatment strategies with multiple injuries. [Keywords:] multiple trauma; brain injury; treatment Abstract: Objective To study the management of traumatic brain injury in the poly trauma patients who have high mortality and low cure rate.Method