Besarović Z, Konjhodzić F, Custović K, Simunović V
Acta Chir Iugosl. 1979;26(1 Suppl):121-6.
The authors report 91 cases of acute posttraumatic coma. The propose undertaking of promptly diagnostic, and consider that the most important is angiographic examination. Excluded the cases of clinical evident brain death of very dad generaly status of patient, they preopse prompt carotid angiography by every case of posttraumatic cerebral coma, in spite of eventual lack the neurological lateralisation. When they havenit time of possibility for angiographic examination, they undertook the diagnostic bur-hole. Early intracranial and intracerebral decompression in the first six hours is, if indication for operation is good line, nowadays unique method for treatment these patients in contemporary neurotraumatology.
作者报告了91例急性创伤后昏迷病例。他们建议进行快速诊断，并认为最重要的是血管造影检查。排除了临床明显脑死亡且患者一般状况极差的病例后，他们建议对每例创伤后脑昏迷患者立即进行颈动脉血管造影，尽管最终可能缺乏神经定位体征。当他们没有时间进行血管造影检查时，就进行诊断性钻孔。如果手术指征明确，在最初6小时内进行早期颅内和脑内减压是当代神经创伤学中治疗这些患者的唯一方法。
