5.12 Wenchuan earthquake-volume treatment of patients with traumatic brain injury.docVIP

 PAGE \* MERGEFORMAT 7 5.12 Wenchuan earthquake-volume treatment of patients with traumatic brain injury Of: Xing Xuemin, Gu Jianwen, He Wei Qi, Kuangyong Qin, Yang Libin, Cheng Lin [Abstract] summarized 92 cases of brain injury after the earthquake injured admitted to hospital treatment after the adjustment mode, keep the airway clear and give sedation dehydration and, if necessary, emergency surgical removal of intracranial hematoma treatment experience. For the bulk brain injury patients improve the cure rate reduce mortality and improve the prognosis of great significance. [Keywords:] brain injury, earthquake damage May 12, 2008 ~ June 2 were treated in our hospital neurosurgery earthquake injured 92 cases of brain injury patients, now and experience of its treatment measures are summarized below. Clinical data 1 General information brain injury in 92 patients, 55 cases of males and 37 females, aged from 3 months to 84 years old, average 40.7 years old. Which light 58 cases (63.04%, medium in 20 cases (21.74%, severe in 14 cases (15.22% . All patients underwent head CT examination: 19 cases of scalp laceration, scalp hematoma, 7 cases of linear skull fracture in 13 cases, 5 cases of depressed fractures, basal skull fracture in 7 cases, 21 cases of cerebral contusion, epidural 13 cases of hematoma, intracerebral hematoma in 7 cases. head injury and shock in 8 cases (8.69%, with various degree of crush syndrome in 21 cases (22.83%, combined with other parts of injuries in 47 cases. 2 treatment programs 2.1 to maintain vital signs were stable complex wounded the face of a large number of injuries, rapid assessment of the injury, evaluate the importance of life-threatening signs and clinical performance. Respiratory depression, mental disorders, increased intracranial pressure, brain herniation and other emergency situations, immediately given symptomatic treatment, to maintain airway patency, the timely removal of oral and nasal secreti