PENANGANAN NON BEDAH PADA TRAUMA KAPITIS

Tri Makmur, F. A. Siregar
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Abstract

Capitis trauma is a problem in the field of neurology, as the most common cause of death in young adults (<45 years) and a major cause of disability. Of the 2 million emergency patients, 25% are caused by capitis trauma, which can cause neurological disorders and structural damage to the brain resulting in decreased consciousness. In developing countries, including Indonesia, the frequency of capitis trauma tends to increase. Capitis trauma can occur at any age, most often regarding the productive age group (15-44 years). The frequency of capitis trauma is higher in males than females with a ratio of 4: 1. The most common cause is due to accidents by 60%. Capitis trauma in terms of neurological aspects requires operative therapy and non-operative therapy. Non-operative treatment can be done by maintaining the airway / ventilation, maintaining fluid balance, maintaining temperature, neurological examination and administration of drugs such as dexamethasone, anti-seizure administration, administration of hypertonic fluids such as manithol and administration of stress ulcer drugs.
脑膜炎创伤非外科治疗
头炎创伤是神经病学领域的一个问题,是年轻人(45岁以下)最常见的死亡原因和残疾的主要原因。在200万急诊患者中,25%是由头炎外伤引起的,头炎可引起神经系统疾病和大脑结构损伤,导致意识下降。在发展中国家,包括印度尼西亚,资本创伤的频率趋于增加。头膜创伤可发生在任何年龄,最常发生在生育年龄组(15-44岁)。头炎的发生率男性高于女性,比例为4:1。最常见的原因是由于60%的事故。头炎在神经方面的创伤需要手术治疗和非手术治疗。非手术治疗可通过维持气道/通气、维持体液平衡、维持体温、神经学检查和使用药物(如地塞米松)、抗癫痫药物、高渗液体(如曼尼醇)和应激性溃疡药物来完成。
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