Earthquake early treatment strategy for intracranial hematoma.docVIP

 PAGE \* MERGEFORMAT 8 Earthquake early treatment strategy for intracranial hematoma [Keywords:] Earthquake treatment of intracranial hematoma At 14:48 on May 12 2008 in Wenchuan County in Sichuan and the city of Beichuan County, County and other places, a magnitude 8.0 earthquake .1000 wounded more than 10 days after the earthquake, turn into the hospital, including cranial hematoma wounded 48. now 48 cases of intracranial hematoma Treatment of wounded in the early case reports below. 1 Materials and Methods 1.1 General information on 48 cases of intracranial hematoma injured, 30 males, 18 females, aged 2 to 83 years old, average 45.3 years old. Attack wounded 35 cases of falling objects, falls in 7 cases, 6 cases of car accident injuries, duration of admission 3 hours to 10 days, an average of 2.5 days. 1.2 Clinical manifestations on admission GCS score: 3 to 5 minutes in 2 cases, 6 to 8 points in 16 cases, 26 cases from 9 to 12 points, 13 to 15 minutes in 4 cases. Combined fractures in 36 cases, 10 cases of pneumothorax combined blood. Scalp split injury in 44 cases, 36 cases required further debridement. 1.3 The performance of CT brain CT found 44 cases of supratentorial hematoma, infratentorial hematoma in 8 cases, and the curtain up and down mixed hematoma in 4 cases. Epidural hematoma in 26 cases, 24 cases of subdural hematoma, intracerebral hematoma in 17 cases. Reference number field formulas 32 patients with supratentorial hematoma volume greater than 30ml, 5 infratentorial hematoma volume greater than 5ml. 1.4 Treatment Methods (1) set up to have experienced medical treatment of war wounds team captain for the rescue center grant decision-making group. Decision-making group decisions whether and when the line hematoma evacuation. (2) a surgical hematoma evacuation However, indications for surgical cases temporarily, organization staff, family members or accompanying patient volunteers to enhance observation, active pain treatm