RESUMO
Under examination there were 411 patients with cranio-cerebral traumas. A unified method was used at different medical institutions in order to study questions of prognosis of the outcomes. Surgical treatment was used in 117 of them. The investigations have shown that the state of trance-coma both before operation and in the postoperative period is absolutely unfavourable prognostically. The state of trance-coma and the value of 15 scores and less should be taken into consideration as a contraindication for the solution of the question of operation in patients with cranio-cerebral traumas.
Assuntos
Lesões Encefálicas/cirurgia , Transtornos Cognitivos/etiologia , Coma/etiologia , Transtornos da Consciência/etiologia , Transtornos Neurocognitivos/etiologia , Adulto , Idoso , Lesões Encefálicas/complicações , Lesões Encefálicas/psicologia , Criança , Coma/diagnóstico , Transtornos da Consciência/diagnóstico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos Neurocognitivos/diagnóstico , Exame Neurológico , PrognósticoRESUMO
The authors studied the informative value of clinical signs of craniocerebral trauma (CCT) in relation to the prediction of different categories of recovery. Using a package of applied programmes MEDSTAT-85 a clinical pool of the findings about the status of 302 patients examined by a uniform technique was subjected to clinical analysis. The optimal set of clinical indicators for predicting different categories of recovery in the first 24 hours after the CCT with an average accuracy of 80% is described.