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Исходы коматозных больных при тяжелой черепно-мозговой травме

Исходы коматозных больных при тяжелой черепно-мозговой травме

Abstract

The authors investigated data of 126 series in acute stage of Skull Brain injury. Patients age varied from 16 to 85 years, 69 of them underwent surgery. All patients admitted with deep disturbances of consciousness: in spoor 17 patients (7-9 scores according to the Glasgow coma scale), in coma of 1-2nd grade 67 patients and in coma of 2-3rd grade 42 patients (305 scores according to the Glasgow coma scale). The Brain contusion of different location was diagnosed in all patients: single – 68, multiple – 37, in combination with epidural and subdural haematomas – 93, combined with intracerebral and ventricular hemorrhages – 34, signs of diffuse axonal injury and brain stem contusion – 9 patients. The mortality rate investigated in 89 patients (76%).

Проведен анализ результатов 126 коматозных больных в остром периоде тяжелой ЧМТ. Возраст больных варьировал от 16 до 85 лет, 69 из них были оперированы. Все больные поступали с глубокими нарушениями сознания: в сопоре 17 человек (7-9 баллов по шкале Глазго), коме 1-2 ст. 67 и коме 2-3 ст. 42 пациентов(3-5 баллов по шкале Глазго). У всех больных диагностированы ушибы головного мозга различной локализации: одиночные 68, множественные 37, в сочетании с эпии субдуральной гематомой 93, в сочетании внутримозговой гематомой и вентрикулярным кровоизлиянием 34, признаки диффузного аксонального повреждения и ушиба ствола мозга выявлены в 9 случаях. Летальный исход наступил у 89 больных (76%).

Keywords

Черепно-мозговая травма, нарушения сознания, кома, сопор, внутричерепные кровоизлияния, исход, прогноз.

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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
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