[Acute concomitant traumatic brain injury--a comprehensive diagnosis at different phases of treatment].

Abstract

INTRODUCTION:

The combination of traumatic brain injury with extracranial lesions is observed in 50-70% of cases. The results of treatment of patients with concomitant traumatic brain injury are much worse than with isolated injuries, deaths on different data ranges from 12 to 69%.

PURPOSE:

To study the effect of diagnostic and therapeutic measures at different stages of health care co-head injury victims and to create an algorithm of the best diagnosis and treatment of patients according to specific region.

MATERIAL AND METHODS:

615 patients with concomitant TBI admitted to the Andijan branch of the Republican Research Centre of Emergency Medicine (Uzbekistan) between 2005 and 2011.

RESULTS:

The average age of victims was 44.2 +/- 1.2 years (16-76 years). Diffuse brain damage was detected in 193 (31.4%) patients. Died in the hospital 95 (15.4%) of the injured. The most common cause was traffic accident. In the first days after injury leading cause of death was blood loss and shock, and only then - the massive intracranial injuries (damage?) and intracranial hematoma.

CONCLUSION:

Critical, in addition to establishing the nature of head trauma and associated injuries, is timely diagnosis and treatment of blood loss and shock.

• Authors: K A Kuldashev
• Journal: Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko (Zh Vopr Neirokhir Im N N Burdenko) Vol. 76 Issue 6 Pg. 40-4; discussion 44 ( 2012) ISSN: 0042-8817 [Print] Russia (Federation)
• PMID: 23379182 (Publication Type: English Abstract, Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Algorithms
• Brain Injuries (diagnosis, mortality, therapy)
• Diagnosis, Differential
• Female
• Humans
• Intracranial Hemorrhage, Traumatic (diagnosis, mortality, therapy)
• Male
• Middle Aged
• Retrospective Studies