Altitude of 387 cases of severe brain injury experience of early treatment.docVIP

 PAGE \* MERGEFORMAT 12 Altitude of 387 cases of severe brain injury experience of early treatment Of: Bo Sun Sheng Qin Bin Zhao Jiangtao [Abstract] Objective To analyze characteristics of high altitude brain injury to explore the plateau area of early brain injury treatment measures, and explore the geographic characteristics of the plateau for treatment system, regulate the plateau region where the early traumatic brain injury. Methods Retrospective analysis of 387 cases of high altitude treatment of severe head injury patients experience. good results in 248 cases (64.1%), the residual 42 patients (10.9%), severe disability in 31 patients (8%), plant survival of 4 patients (1%), 62 patients died (16 %). Conclusion pre-hospital treatment and emergency treatment of patients with neurological damage in plateau regions decrease the final mortality was significant. early standardization of drug therapy for patients with traumatic brain injury is critical and essential. [Keywords:] plateau, head injury, early treatment The incidence of traumatic brain injury and death due to traumatic brain injury, disability of patients every year. After several generations of workers, the tireless efforts of neurosurgery, brain trauma of basic and clinical research has made great progress [1] However, the mortality of acute severe head injury remains high (30% -50%) [2]. our hospital is located in the Qinghai-Tibet Plateau, the resident altitude of 2 800 m, mostly between patients treated in two provinces of Qinghai-Tibet staff mobility in the elevation of 2 600 ~ 5 300 m, between the plateau region how to improve the success rate of treatment is a major difficulty. now in our hospital from 2000 to 2006, 6 years, 387 patients were treated by early treatment of severe head injury cases reported as follows. 1 Clinical data 1.1 General information on 387 cases of severe head injury patients, 269 cases of male and female 118 cases, aged 3 months to 91 years old, av