An Analysis of Death Factors of Patients with Head Injury Who Talk and Die / 中华创伤杂志

ABSTRACT

In this study, the factors caused deterioration and death in 40 pationts who had talked after head injury were analysed. It showed that the intracranial hematoma was the most common cause of deterioration and death (67. 5%), and therefore early diagnosis and surgical treatment of hematoma are very important for these patients. For the patients with intracranial hematoma, selection of indication of the conservation treatment must be more careful and strict. If the ICP monitor or a series of CT-sean could not be used in time, surgical treatment should be choiced more actively in these patients. Some patients whose hematomas were not found by CT-scan or even postoperative conditions had been improved could get deterioration again, thus more attention must be paid to the occurrences of delayed intracranial hematomas. The postoperative complications were another kind of factors responsibe to death, such as pulmonary infection, intracranial infection, gastrointestinal bleeding and so on(22. 5%). The corresponding preventive measures should be taken more effectively according to circomstances.