枕额叶颅脑损伤的结果与处理。

Asian journal of neurosurgery Pub Date : 2024-06-25 eCollection Date: 2024-09-01 DOI:10.1055/s-0043-1776992
Syamantak Srivastava, Ganapathyvel Kannan, J Srisaravanan, K Rajaraajan
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引用次数: 0

摘要

颅脑损伤是指与主要撞击相反的典型损伤。泰米尔纳德邦是印度道路交通事故发生率最高的地区。马杜赖是印度事故死亡率最高的地区。以前对头部挫伤的研究显示了受伤模式和受伤机制。本研究仅对枕额部头部挫伤的结果和处理进行了分析。这一特殊群体的死亡率非常高。马杜赖政府拉贾吉医院收治了 76 名这种特殊头部损伤的患者。对患者进行了格拉斯哥昏迷量表(GCS)、年龄、性别、血容量进展、死亡率、脑外伤引起的凝血功能障碍以及骑乘者结果的评估。14 名患者接受了颅骨减压切除术。通过抗癫痫和抗水肿措施进行了保守治疗。大多数患者为男性(54 人),其次是女性(22 人)。入院时 GCS 平均值为 9。在我们的研究中,死亡率为32%,其中3名患者因下丘脑受压而猝死。随着病变的发展,患者的住院时间明显延长,平均为 9 天,P 值小于 0.01。在我们的研究中,副驾驶员(18 人)也受到了影响。我们还发现了创伤性脑损伤引起的凝血功能障碍(12 人),通过注射氨甲环酸和维生素 K 治疗后,没有人因凝血功能障碍而死亡,P 值小于 0.01。我们建议主驾驶和副驾驶都佩戴头盔,并严格遵守超速规定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outcome and Management of Occipitofrontal Contrecoup Head Injury.

Contrecoup brain injury refers to the classical opposite of the primary impact. Tamil Nadu has the highest rate of road traffic accident in India. Madurai has peak mortality due to accidents in India. Previous studies done on contrecoup head injury had shown patterns of injuries and mechanism of injury. Outcome and management of only occipitofrontal contrecoup head injury has been taken in this study. Mortality in this specific group is very high. Seventy-six patients of this specific head injury were admitted at Government Rajaji Hospital, Madurai. Patients were assessed for Glasgow coma scale (GCS), age, sex, progression of volume, mortality, traumatic brain injury-induced coagulopathy, and pillion rider outcome. Fourteen patients were surgically treated by decompressive craniectomy. Conservative management was done by antiepileptic and antiedema measures. Mostly affected were males ( n  = 54) followed by females ( n  = 22). GCS on admission mean value 9. In our study, mortality was 32% with sudden death of three patients due to hypothalamic compression. Hospital stay of the patient was significantly increased with progression of lesion with mean 9 days and p -value less than 0.01. Pillion riders ( n  = 18) were also affected in our study. Traumatic brain injury-induced coagulopathy ( n  = 12) was also detected, which was treated by injection tranexamic acid and injection vitamin K, thereby not leading to any death due to coagulopathy with significant p -value less than 0.01. We recommend helmet for both main and pillion rider with strict speeding regulations.

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