Early treatment of sylvian fissure contusion of brain caused by traffic accident
- VernacularTitle:交通伤致对冲性侧裂区脑挫裂伤的早期处理
- Author:
Lesheng CAO
;
Yulin NIE
;
Zhengming JIANG
;
Yulu MIAO
;
Wan ZHAO
- Publication Type:Journal Article
- Keywords:
Accidents, traffic;
Brain injuries;
First aid
- From:
Chinese Journal of Trauma
1990;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the relationship of pathogenesis and early management with prognosis of sylvian fissure contusion of brain caused by traffic accident. Methods A review was done on 36 cases with sylvian fissure contusion of brain caused by traffic accident, in which early improvement of respiration and management of combined injuries were performed according to injury severity and pathogenesis. Standard big bone flap craniotomy was done in 31 cases including bilateral craniotomy in 13. Of nine cases treated conservatively, four cases turned to operation due to aggravation. Results Of all, 18 cases recovery better but death occurred in eight, vegetative state in two, bad disability in two and moderate disability in six. Conclusions Early synthetic treatment, prompt decompression with standard big bone flap, paying attention to sylvian fissure contusion in the midline area, dynamic observation of injury and effective treatment can improve prognosis and reduce mortality rate.
