Analysis of 284 severe and specially severe brain injury cases
ZHOU Zhi-cai
LIU Xing-jun
LIU Jing-ye
ZHANG Sai
Abstract：Objective To discuss our experience of treatments of 284 cases of severe and specially severe traumatic brain injury at different stages.Methods Two hundred and eighty-four cases were treated with craniotomy hematoma clearance and/or decompressive craniectomy.Among them,201(70.8%)cases were given super-early stage(3～6 h)operations,63(22.2%)cases had early stage(7～12 h)operations,and 20(7.0%)cases had advanced stage(13～24 h)operations.Results Fivty-eight(28.2%)of super early stage operation patients were dead,20(31.7%)of early stage operation were dead,and 8(40.0%)of advanced stage operation were dead.According to the therapeutic evaluation at the time of hospital discharge(GOS),there are 130(65.7%)cases cured,36(18.2%)cases moderately disabled,23(11.6%)serious disabled,9(4.5%)in vegetative state,86 (30.3%)cases died.Conclusion Severe and specially severe traumatic brain injury are characterized by serious damage,complex conditions,rapid change and high mortality.It is important to emphasize the skills of both on site and pre-hospital first-aid.Meanwhile,hospital therapies should aim at secondary multi-organ damages,following complications.
Keywords：Traumatic brain injurySurgical treatmentTherapeutic evaluation
Publication Date：2008-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：2( 291-292 )