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[局灶性创伤性脑损伤的差异治疗]

[Differential treatment of focal traumatic brain injury].

作者信息

Pedachenko E G, Fedirko V O

出版信息

Klin Khir (1962). 1992(11):11-4.

PMID:1296052
Abstract

On the basis of observation of 65 patients with focal traumatic injury to the brain (hematoma of mater encephali was noted in 24, intracerebral--in 27, a focus of type III brain contusion--in 24, type IV--in 11, multiple hematomas and foci on contusion-crush--in 21), the criteria for their non-surgical treatment have been substantiated. Choice of a method for the treatment depends on the sizes of a hematoma, focus of contusion-crush, location of an injury, degree of its influence on the brain structures (deformation, shift), value of intracerebral pressure, dynamics of the clinico-roentgenologic symptoms.

摘要

基于对65例脑局灶性创伤患者的观察(24例发现硬脑膜血肿,27例脑内血肿,24例III型脑挫伤灶,11例IV型,21例多发血肿及挫伤 - 挤压灶),证实了其非手术治疗的标准。治疗方法的选择取决于血肿大小、挫伤 - 挤压灶、损伤部位、其对脑结构的影响程度(变形、移位)、颅内压值以及临床 - 放射学症状的动态变化。

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