Khil'ko V A, Mamadaliev A M, Shakhnovich A R, Abakumova L Ia, Kornienko V N
Zh Vopr Neirokhir Im N N Burdenko. 1988 May-Jun(3):19-24.
The indications and contraindications for surgical treatment in craniocerebral trauma (CCT) were based on estimation of the patient's condition in marks; the dynamics of changes of the results of the estimation in the pre- and postoperative periods were studied. A total of 375 patients with CCT were examined in different medical institutions according to a unified method. Neurosurgical interventions were carried out on 155 patients. All patients who underwent operation when their condition was rated below 15 marks died on the immediate postoperative days, whatever their age and whatever the time of the operation after the trauma. The probability of a favourable outcome increased to 40% in a condition rated 21-30 marks on the day of the operation and reached 69% when it was above 30 marks.
颅脑创伤(CCT)手术治疗的适应证和禁忌证基于对患者状况的评分评估;研究了术前和术后评估结果的变化动态。按照统一方法,在不同医疗机构对375例CCT患者进行了检查。对155例患者实施了神经外科干预。所有在病情评分为15分以下时接受手术的患者,无论其年龄大小以及创伤后手术时间如何,均在术后即刻死亡。手术当天病情评分为21 - 30分的患者,预后良好的概率增至40%,而评分高于30分时则达到69%。