Experience of treatment of children with severe traumatic brain injury.docVIP

 PAGE \* MERGEFORMAT 10 Experience of treatment of children with severe traumatic brain injury Of: Wei Jiming, Qiu Hong, Zhang Chuandong, blue Rong Bao, Meng Hai Bin, Orchid Exhibition, Liu Jun, Luo Zhu, Feng Lei [Keywords:] brain injury / treatment of children Neurosurgical head injury in children is common, along with the development of urban transport, a variety of factors increase the injury, its incidence increasing trend year by year, seriously affecting the health or even death in children, to a huge burden on families and society . summary treatment of brain injury in children, has important practical significance. our hospital from January 1995 ~ December 2007 children were treated 51 cases of severe head injury, results were satisfactory. these are as follows: 1 Materials and Methods 1.1 General Information A total of 51 patients in this group, including 29 males and 22 females. Aged 1 month to 14 years, average 7.1 years old. One lt;3 years in 5 cases, 3 years old in 18 cases, 7 years old in 21 cases, 13 to 14 years .3 ~ 5 points in 7 cases, 18 cases (particularly severe), 6 to 8 minutes and 33 cases (heavy duty). The causes of injury: road accident in 21 cases, 17 cases of fall injury, the two together accounted for 74.51%, followed by falls, wounded, kicked, firearm injuries and other injuries produced a total of 13 cases, accounting for 25.49%. 1.2 Damage Type 39 cases of closed head injury, open head injury in 12 cases, combined epidural hematoma in 18 cases, 6 cases of subdural hematoma, intraventricular hemorrhage in 3 cases, multiple hematomas in 5 cases. Complicated skull fracture in 24 patients (accounting for 47.06 %, of which 5 cases of linear fractures, suture separation in 4 cases, 11 cases of comminuted depressed fracture, skull fracture in 4 cases. Other types of injury: diffuse cerebral contusion in 23 cases, 4 cases of diffuse axonal injury, primary brainstem injury in 3 cases, traumatic cerebral infarction in