Secondary treatment with XNJI frontotemporal experience severe brain injury_0.docVIP

 PAGE \* MERGEFORMAT 7 Secondary treatment with XNJI frontotemporal experience severe brain injury Study: New Song Bao, Li Zhenliang, Fan Qi, Li Chang Po, Liyuan E [Keywords:] severe brain injury, acute subdural hematoma, minimally invasive, expanding pterional, XNJI Frontotemporal severe head injury with acute subdural hematoma is often the patients there is generally a long and severe disturbance of consciousness, residual death rate, clinical often need surgery to remove the hematoma as early as possible, and after decompressive craniectomy for further treatment, surgery the timing and effects of decompression and postoperative prognosis of patients with effective treatment is to determine the critical .2003 January -2007 In January, the author of Pinggu District Hospital, 26 patients admitted to neurosurgery frontotemporal acute severe brain injury subdural hematoma, timely use of minimally invasive hematoma puncture ejection, the expansion of pterional decompressive craniectomy, patients on the basis of routine treatment, plus XNJI infusion, to achieve better effect. now give two cases described below. A typical case Case 1: The patient, male, aged 44, for “motorcycle was hit by a fall unconscious for half an hour after the head” on October 26, 2004 emergency room. To the hospital when the situation: patients in a coma, blood pressure 175/95 mm Hg (1 mm Hg = 0.133 kPa), Glasgow Coma Scale (GCS) score 4, strong body was tingling state of decerebrate rigidity, the top of the right temporal scalp swelling, skin contusion, bilateral pupil ranging from large, left side of the pupil diameter of 5 mm, right side of the pupil diameter of 3 mm, direct and indirect light reflex disappeared, limbs increased muscle tone, strength 0, bilateral Pakistan’s sign (+). cranial CT examination revealed: Left frontotemporal cerebral contusion, left frontal and temporal-parietal subdural hematoma, about 40 mL, midline shifted to the right about 1.5 cm, ring pool