闭合性颅脑损伤（Closed craniocerebral injury）.docVIP

闭合性颅脑损伤（Closed craniocerebral injury） Closed brain injury Edit this section of disease classification neurosurgery Edit the description of the disease The brain tissue is divided into two categories: open and closed according to whether the brain tissue is connected with the outside. The former is caused directly by the weapon or firearm, are associated with scalp laceration, skull fracture and dural rupture, with leakage of cerebrospinal fluid; the latter is a blunt head contact object or indirect violence, without head or skull injury, or although the scalp and skull injury, but meningeal integrity, no cerebrospinal fluid leakage. Edit the symptoms and signs of this paragraph For blunt objects or indirect violence on the head, without scalp or skull injuries, or with scalp or skull injuries, the meninges is intact and there is no cerebrospinal fluid leak. (1) concussion; With a transient brain dysfunction, the main symptom is injured was immediately appeared a brief disturbance of consciousness, coma or completely unconscious, often for seconds or minutes, generally not more than half an hour. After waking up, most of them can not remember the injury, or even the situation before the injury, which is called retrograde amnesia. In the severe disturbance of consciousness during skin pale, sweating, blood pressure, heart rate, breathing shallow slow, hypomyotonia and reflecting the physiological slow or disappeared, but with the general chapter soon became normal. Headaches, dizziness, nausea, vomiting and other symptoms may develop later in the day. No positive signs of neurological examination, cerebrospinal fluid Suocha no red blood cells, CT scan showed no abnormalities. (two) diffuse axonal injury The main presenting feature was the long coma occurring immediately after the injury. The main cause of the fan loss is extensive axonal damage, resulting in loss of contact between the cortex and subcortical centres. If the brain stem is involved, the patient may have