脑干损伤（Brainstem injury）.docVIP

脑干损伤（Brainstem injury） The | brain stem injury disease and drug adverse reaction | | news | health care | immunization | Xunyiwenyao | nursing Your position: Huayuan Pharmaceutical Health Xunyiwenyao net diseases Surgery Department of Neurosurgery text Brainstem injury Author: anonymous source: unknown hits: 1207 update time: 2006-7-19 Font: [large collection] [recommendation] [Print] [off] [overview] Impacted on the head caused by the primary brain stem injury about craniocerebral injury 2-5% in severe craniocerebral injury in about 10-20%, in addition to the brainstem sensory and motor conduction bundle with cranial nerve nuclei, through the body, and anastomosing structure and breathing and circulation center of life. Therefore, the disability rate and mortality rate are high. In general, the primary brain stem injury is often more violent, so it is very rare to have brain stem damage alone, but it is associated with brain contusion, so the injury is more severe than that of the general brain contusion. If primary brain stem loss is accompanied by intracranial hematoma, brain contusion, brain edema or diffuse brain swelling resulting in tentorial notch herniation, secondary brain stem injury is added to the primary brain stem injury. [diagnosis] 1., the primary brain stem injury, usually in the coma after injury, appear to go to the brain rigidity attack, bilateral pupil size varies, changeable, bilateral pupil can be extremely narrow or enlarged, and can appear two, different eye position. Often paroxysmal abnormal breathing, increased blood pressure. Lumbar puncture examination, intracranial pressure can be normal or mild increase, cerebrospinal fluid normal or bloody. CT and MRI showed small hemorrhagic foci and edema signs in the brainstem. 2. secondary brain stem injury occurred more frequently after cerebral hernia, and it had the above brain stem injury sign, and the intracranial pressure increased significantly. [treatment measures] Contusion and la