Peri-operative treatment of most severely head-injured patients
- Author:
Wei XU
1
;
ShiXin GU
;
Li PANG
;
YaoDong JI
;
Liangfu ZHOU
;
Liang GAO
;
Xiaoyun CAO
;
Dezhi HU
Author Information
1. 上海医科大学附属华山医院
- Keywords:
Head injuries;
Surgery,operative;
Prognosis
- From:
Chinese Journal of Traumatology
2001;4(2):67-69
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To summarize the peri-operative experience from 53patients with traumatic head injuries with GCS score 3-5.Methods: Fifty-three most severely head-injured patients with GCS score 3-5 were admitted to our department and treated operatively from Oct. 1994 to Jun. 1998 and the data were analyzed retrospectively. Results: Thirty-seven cases (69.8%) survived, among them 28 (52.8%) had a good recovery or moderate disability, and 9 (17%) had severe deficits. The other 16 (30.2%) died after therapy.Conclusions: The prognosis of most severely head-injured patients could be improved by peri-operative treatment including premedical care, early evacuation of intracranial hematoma with large decompressive craniectomies, intracranial hypertension monitoring, moderate hypothermia therapy, effective prevention and treatment of cerebral vasospasm and complications.
