Patients with severe head injury clinical analysis of acute brain swelling.docVIP

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2017-05-06 发布于浙江
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Patients with severe head injury clinical analysis of acute brain swelling.doc

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Patients with severe head injury clinical analysis of acute brain swelling

Patients with severe head injury clinical analysis of acute brain swelling OF: Ben Chen, Yi Yong, who volunteer army, Zeng Chun [Abstract] reviewed 39 cases of severe head injury in surgery of acute brain swelling occurred in clinical data, analyze the causes and treatment programs as the preoperative, intraoperative acute brain swelling may be expected to analyze the causes, the implementation of exploration drilling or postoperative CT review, and hemicraniectomy, clear predisposing factors is an effective measure to prevent brain swelling. [Keywords:] brain injury; encephalocele; surgery Acute brain swelling was severe head injury encountered in difficult surgical problem, and its poor prognosis, morbidity and mortality high. This paper analyzes the hospital in October 1995 ~ September 2009 39 patients were treated during the period clinical data and to explore its causes and treatment experience. Clinical data 1 General Information of this group 39 cases, 28 males and 11 females; aged 18 to 64 years old, average 39.4 years old. The causes of injury: 32 cases of road traffic injury, fall injury in 5 cases, fall in 2 cases. Injured to hospital time is 1 ~ 3 hours, patients were unconscious on admission, of which 6 were shallow coma, surgery preconscious barrier rapidly deepening. bilateral mydriasis in 28 cases, unilateral in 11 cases, 6 cases of patients surviving more shallow coma low light reflection. Glasgow coma scale (GCS) 6 ~ 8 minutes and 13 cases, 3 to 5 minutes 26 cases. 2, the performance of all the patients brain CT there is widespread cerebral contusion, the Central pool, pool-side split or disappear under pressure, intraventricular pressure becomes smaller or disappear. Unilateral giant epidural hematoma in 4 cases, with extensive subdural hematoma 18 cases of cerebral contusion, intracerebral hematoma with diffuse brain contusion in 12 cases, extensive brain contusion midline shift in 5 cases, with linear skull fracture in 7 case