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[颅脑创伤患者的外科治疗及神经症状在其预后转归中的作用]

[Surgical treatment of patients with cranio-cerebral trauma and the role of neurological symptoms in the prognosis of its outcomes].

作者信息

Mamadaliev A M, Shakhnovich A R, Abakumova L Ia, Khi'lko V A, Kaasik A A, Tikk A A, Loshakov V A, Norbutaev A T, Kaznacheev V M

出版信息

Vestn Khir Im I I Grek. 1989 May;142(5):68-72.

PMID:2800228
Abstract

Under examination there were 411 patients with cranio-cerebral traumas. A unified method was used at different medical institutions in order to study questions of prognosis of the outcomes. Surgical treatment was used in 117 of them. The investigations have shown that the state of trance-coma both before operation and in the postoperative period is absolutely unfavourable prognostically. The state of trance-coma and the value of 15 scores and less should be taken into consideration as a contraindication for the solution of the question of operation in patients with cranio-cerebral traumas.

摘要

接受检查的有411例颅脑外伤患者。不同医疗机构采用统一方法来研究预后问题。其中117例接受了手术治疗。研究表明,术前及术后的恍惚-昏迷状态在预后方面绝对不利。对于颅脑外伤患者,恍惚-昏迷状态且评分为15分及以下应被视为手术问题解决的禁忌症。

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