The experience early treatment of severe bifontal intraparenchyma contusion / 重庆医科大学学报

ABSTRACT

Objiectiveto summarize the early treatment of severe bifrontal intraparenchyma contusion associated with central herniation. Mehthodclinical presentation of 41 cases of secere bifrontal contusion associated with central herniation were analyzed retrospectively. Resolts12 cases had good overcome,13 mild morbidty,2 severe mordity,1 were in persistent vegetative state,3 mortality.Conclusions: Attaches great importance to patients with severe bifrontal brain contusion associated with central herniation,close observation of patients with their consciousness,pupil and changes in vital signs;attend that it is premature to stop dehydrating agent,too fast,to review the head dynamic CT,the right to master surgical indications.Early removal of necrotic brain tissue and cranial decompressive craniectomy to be effective in improving the cure rate of patients.