Hematoma after traumatic brain injury in the early diagnosis and treatment of delayed.docVIP

 PAGE \* MERGEFORMAT 5 Hematoma after traumatic brain injury in the early diagnosis and treatment of delayed Of: Wang Shan, Xing-Jun Tian, #8203;#8203;pipe clear, Sun Zhidong, Liu Guodong, WANG Yue Jun, Huang Ruoyu [Abstract] Objective To investigate delayed hematoma after traumatic brain injury diagnosis and treatment. Methods 40 cases of brain trauma patients delayed hematoma observation summary. Results The surgical treatment of 32 cases, conservative treatment in 5 cases, 3 died. Conclusion cranial traumatic brain injury patients, should not rely on the first CT examination, to the neglect of the clinical changes. intracranial hematoma on the vigilance with strict observation of the nervous system is the best way to avoid misdiagnosis. [Keywords:] brain trauma; first CT; delayed intracranial hematoma; early diagnosis and treatment Clinical part of the brain injured patients, the first CT examination after injury, hematoma was found, over time, intracranial hematoma occurred, high rates of death and disability. For the early diagnosis and treatment of such patients can reduce mortality in patients and morbidity. retrospective analysis of 500 cases of brain trauma patients college, 40 cases of delayed intracranial hematoma, head trauma cases over the same period accounted for 8%, are as follows. 1 Clinical data 1.1 General information on the 40 cases, 33 males and 7 females. 1.2 6 cases of injury accelerated by injury, deceleration injury in 25 cases, 9 cases of combined injuries. 1.3 Symptoms and signs of 30 patients with primary coma, conscious on admission in 10 cases, 26 cases with disturbance of consciousness, disturbance of consciousness gradually worsened observed 35 cases; CT scan tracking, 6 ~ 24h after injury found 33 cases of delayed hematoma, 25 ~ 48h 3 , 49 ~ 72h 2 , 72h or more in 2 cases. 2 treatment, and outcomes Treatment depends on the size of hematoma, midline shift significantly in time to remove the hematoma.