Clinical study of multiple severe craniocerebral injury
Liang E
Liu Xinping
Ye Yijun
Lai Rongfu
Wang Shousen
Wei Liangfeng
Abstract:Objective To study the clinical characters and surgical strategy of multiple severe craniocerebral injury and improve its treatment efficacy. Methods The clinical data of 128 patients with multiple severe craniocerebral injury were analyzed retrospectively. According to CT scan results, the injury was type 1 in 32 patients, type 2 in 13, type 3 in 27, type 4 in 24, type 5 in 16 and type 6 in 16. Results According to the Glasgow Outcome Scale (GOS), the patients were recovered well in 46 cases (35.9%), moderately disabled in 39 (30.5%), severely disabled in 18 (14.0%), vegetative state in 8 (6.3%) and died in 17 (13.3%). There was significant difference between various types according to CT features (P<0.05). Mortality in intracranial pressure (ICP) monitoring group was significantly lower than that in non-ICP monitoring group (P<0.05). Conclusions According to the individual status, the corresponding treatment and monitoring, especially ICP monitoring are the key point to raise the success rate of salvage for multiple severe craniocerebral injury.
Keywords:craniocerebral traumamultiple traumaintracranial pressuremonitoringpressure
Publication Date:2015-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:3( 247-249 )
