2006年脑外伤外科治疗指南（Guidelines for surgical treatment of traumatic brain injuries in 2006）.docVIP

2006年脑外伤外科治疗指南（Guidelines for surgical treatment of traumatic brain injuries in 2006） The brain trauma foundation and the American Society of neurosurgeons Traumatic brain injury is the main cause of death and severe disability in young people, and the most important complication is traumatic intracranial hematoma. The incidence of intracranial hematoma is 25%~45% in severe brain trauma, 3% ~13% in middle brain trauma, and 1/500 in mild tbi. Without effective surgical treatment of intracranial hematoma, is likely to be a benign clinical course can be restored into death and persistent vegetative state, the diagnosis and treatment of intracranial hematoma delay would produce similar results. This guide is intended for surgical treatment of patients with intracranial lesions accounted for after trauma provide literature careful suggestions based on, the main choice for 10 days after trauma in acute lesions in the literature, and did not choose the literature on chronic subdural hematoma, subdural hygroma and post-traumatic hydrocephalus and delayed disease. At the same time, the guidelines are based on closed head injuries because there are many guidelines for the treatment of open brain injuries. The guide according to the traditional literature classification method to classify lesions after trauma, which is divided into acute epidural hematoma, acute subdural hematoma, brain injury (brain contusion and intracerebral hematoma), acute hematoma of the posterior fossa and depressed skull fracture were introduced. Of course, the most severe traumatic brain injury and moderate traumatic brain injury patients can exist at the same time more than one kind of traumatic lesions, for example, the majority of patients with acute subdural hematoma CT scan findings also exist at the same time cerebral contusion. Some patients may have multiple lesions in the brain parenchyma, such as double frontal contusion, double temporal contusion or temporal lobe and frontal lobe injury sim