Combined with a severe brain injury emergency treatment of thoracic-based Experience.docVIP

 PAGE \* MERGEFORMAT 6 Combined with a severe brain injury emergency treatment of thoracic-based Experience Of: Jin, FORCES, Yang Kun, Cai Qin, Bai Guangxing [Abstract] Objective To summarize the main thoracic with severe brain injury emergency treatment methods and combined experience. Methods of January 2005 to December 2007 our hospital, 37 cases of severe traumatic brain injury with clinical data of patients with chest trauma were analyzed. Results 11 patients died. discharged 26 patients, including: good in 16 cases, 7 cases of moderate disability, severe disability in 3 cases. Conclusion (1) Early disposition to maintain airway patency is the key. (2) priority disposal of chest trauma. (3) Early caution dehydration and diuretics. (4) to prevent secondary damage. [Keywords:] brain injury, associated injuries, first aid Injured in a car accident, the common head injury and multiple trauma, especially associated with severe chest trauma treatment more difficult. Our hospital from January 2005 to December 2007 in the emergency treatment of head injury and chest trauma-based wounded 37 cases are analyzed and summarized as follows. 1 Materials and Methods 1.1 General information 29 males, 8 females, aged from 15 to 71 years. The causes of injury: 37 cases of various traffic accident. Injury to admission time lt;30 min19 cases, 30 ~ 60 min11 cases, 1 ~ 2 h 7 例. GCS score of ≤ 8 points. 1.2 The open head injury injury injury in 12 cases, 25 cases of blunt trauma, have coma, ranging from large bilateral pupil. Confirmed by brain CT scans: brain injury with 13 cases of epidural hematoma, cerebral contusion with subdural 9 cases of hematoma, brain contusion with hematoma in 6 cases, 5 cases of subdural hematoma, epidural hematoma in 3 cases, 1 case of extensive cerebral contusion. herniation which occurred in 17 cases. 1.3 chest trauma injuries and multiple rib fractures in 27 cases of blunt hemopneumothorax, multiple rib fractures and pneumo