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Интенсивная терапия больных с травматическим сдавлением головного мозга

Интенсивная терапия больных с травматическим сдавлением головного мозга

Abstract

Были изучены данные 103 больных различного возраста с множественными травматическими внутричерепными гематомами. На основании проведенных исследований выработаны дифференциально-диагностические признаки и определены методы хирургического лечения данной категории больных. Установлено, что в тактике лечения множественных травматических гематом ведущим является определение и удаление гематомы большей по объёму. Фрезеотомия показана у тяжёлых больных и является надёжным лечебно-диагностическим вмешательством. При острых множественных травматических внутричерепных гематомах операция резекционной трепанации черепа является методом выбора.

The data of 103 series of different ages with multiple traumatic intracranial hematomas resulting from skull-brain trauma investigated. Basing on the investigations differential diagnostic signs have elaborated and ways of surgical management of such patients were determined. It was determined that revealing and removal of hematomas in larger size is the leading point in surgical tactic of bilateral intracranial traumatic hematomas. Trefination indicated in severe patients and it is reliable therapeutic and diagnostic intervention. In bilateral intracranial traumatic hematomas the resectional craniectomy is method of the choice.

Keywords

Черепно-мозговая травма, множественные травматические внутричерепные гематомы, диагностика, хирургическое лечение, эффективность различных вариантов оперативного вмешательства.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average