37 cases of patients with severe traumatic brain injury treatment and analysis of.docVIP

 PAGE \* MERGEFORMAT 13 37 cases of patients with severe traumatic brain injury treatment and analysis of 【Abstract】 Objective To summarize the 37 cases of patients with severe traumatic brain injury (GCS score ≤ 8) the treatment of their experiences and explore the treatment of severe traumatic brain injury. Methods The Bureau since August 2004 -2007 year in January treated patients with severe traumatic brain injury, 37 patients retrospectively. Results Follow-up 4-28 months, the survival of 25 people (67.57%), according to GOS prognosis classification: good in 14 cases (37.84%), the residual 7 patients (18.92%), severe disability in 3 cases (8.11%), and the drain 1 cases (2.70%). Conclusion craniotomy to remove the hematoma as early as possible, full decompression, complete hemostasis, the maintenance of a stable circulation, maintaining a stable internal environment as soon as possible tracheotomy improve breathing. Infection control, mild hypothermia therapy, dealing with associated injuries, prevent complications, can improve the prognosis of patients and improve treatment success rate. Keywords: prognosis of severe head trauma In the trauma, the large proportion of traumatic brain injury, high incidence of injury death rate of prominent, accounting for more than half of the total number of injury death. The severe brain injury accounts for about 20% of traumatic brain injury, the mortality rate is high, is the focus of treatment. This paper reports our department in August 2004 ~ January 2007 such patients treated in 37 cases, the final report is as follows: A clinical data and methods 1.1 General information on 37 cases in this group of patients, male 32 cases, female 5 cases. Age 6-70 years, mean 39.62 years, over 50 years in 8 cases. Injuries reasons: traffic accident in 20 cases, fall injury in 9 cases against injury in 4 cases. Blast injury in 4 cases. Injury Type: open 5 cases, 32 cases of closed and sex.