RESUMO
Within the first three hours after an accident with closed head injuries, we found a continuous increase in size of 30 extracerebral hematomas investigated repeatedly by CT. In the course of this early phase 72 intracerebral lesion in repeated CT investigations showed no similar appearance, neither in evolution nor in the dynamics of the developing contusional hemorrhage or as regards the clinical symptoms.
Assuntos
Lesões Encefálicas/complicações , Hematoma Epidural Craniano/diagnóstico por imagem , Hematoma Subdural/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Adulto , Idoso , Feminino , Hematoma Epidural Craniano/etiologia , Hematoma Subdural/etiologia , Humanos , MasculinoRESUMO
To summarise, it is apparent that operable acute hematomas are found particularly in the second and third hours after a CCI. Therefore, it is during the first hour after a CCI that the control of the vital functions of respiration and circulation are the most important. When a hematoma is suspected, the diagnostic procedure must be organized promptly, particularly in the second and third hour. Later, the chances of recovery for a patient with an epidural hematoma are greatly reduced.
