RESUMO
<p><b>OBJECTIVE</b>To evaluate current diagnosis and therapeutic effect and outcome of diffuse axonal injury (DAI) in 169 patients.</p><p><b>METHODS</b>The data of 169 DAI patients treated in the Second, Sixth, Eighth and Ninth Hospitals of Shenzhen and Shekou Hospital from January 2001 to January 2005 were collected. The imaging features, classification, GCS (Glasgow coma scale), treatment and outcome of the 169 patients were retrospectively analyzed.</p><p><b>RESULTS</b>The simpler the imaging features, the closer the focus of DAI to the periphery of hemisphere and the higher the GCS score, the better the prognoses of DAI patients will be.</p><p><b>CONCLUSIONS</b>The prognoses of DAI patients are closely related to the imaging features and classification, GCS and clinical treatment.</p>
RESUMO
<p><b>OBJECTIVE</b>To sum up the experience in treating very severe traumatic brain injuries.</p><p><b>METHODS</b>Retrospective analysis of 68 patients with very severe traumatic brain injuries treated in our hospital from 1997 to 2002 was done.</p><p><b>RESULTS</b>Forty-one (60%) patients died. In the 50 patients treated surgically 27 (40%) survived, 8 recovered well, 9 had moderate disability and 10 had severe deficits. The 18 patients treated non-operatively all died.</p><p><b>CONCLUSIONS</b>Much attention should be given to the observation of the changes of severe brain injuries with cranial base injury. Timely operative decompression, basic life support, keeping effective brain blood perfusion and effective oxygen supply, improving cerebral microcirculation and preventing or controlling complications are the main methods to raise the successful rate of treating very severe brain injuries and the life quality of the patients.</p>
Assuntos
Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Lesões Encefálicas , Diagnóstico , Mortalidade , Terapêutica , Estudos de Coortes , Terapia Combinada , Craniotomia , Cuidados Críticos , Métodos , Descompressão Cirúrgica , Quimioterapia Combinada , Escala de Coma de Glasgow , Escala de Gravidade do Ferimento , Imageamento por Ressonância Magnética , Oxigênio , Usos Terapêuticos , Prognóstico , Estudos Retrospectivos , Medição de Risco , Análise de Sobrevida , Resultado do TratamentoRESUMO
<p><b>OBJECTIVE</b>To explore the causes of the formation of traumatic carotid-cavernous fistulas and the therapeutic effect of detachable balloon and/or coil embolization and the prevention of its complications.</p><p><b>METHODS</b>From October, 1992 to March, 2002, 17 patients with traumatic carotid-cavernous fistulas were treated with detachable balloon and/or coil embolization in our hospital. The clinical data and imaging features of CT, MR and selective angiogram of these patients were analyzed.</p><p><b>RESULTS</b>One week after treatment with embolization, the clinical symptoms of the 17 patients were remitted, and optic cacophony, nystagmus, exophthalmos and dropsy of conjunctiva disappeared. Two patients manifested surgical complications, one patient died. Sixteen patients survived. They were all followed up for more than 2 years, which showed one patient had handicap in movement, and in one patient the signs and symptoms of traumatic carotid-cavernous fistulas reoccurred 2 months after treatment.</p><p><b>CONCLUSIONS</b>The detachable balloon and/or coil embolization is safe and reliable. It is a good method to treat traumatic carotid-cavernous fistulas.</p>