Romodanov A P, Pedachenko G A
Zh Vopr Neirokhir Im N N Burdenko. 1984 May-Jun(3):9-14.
The work analyses the specific features of the clinical picture, diagnosis, and treatment of craniocerebral injury because of 7 car accidents (225 patients) and in common accidents of everyday life (210 patients). Craniocerebral injury in car accidents is very severe (high incidence of massive and multiple contusions of the brain, fractures of the skull bones, intracranial hematomas) and is often combined with injury to the viscera and bones. Thorough clinical and neurological examination, x-ray of the skull, echoencephalography, cerebral angiography, and trephination of the skull help to disclose and identify exactly the character of the cerebral damage. The therapeutic complex in craniocerebral injury because of car accidents includes measures of intensive therapy and, if indicated, surgical intervention. Traumatism occurring as the result of car accidents is characterized by coarser cerebral functional defects and graver invalidism of patients in contrast to accidents of everyday life.
该研究分析了7起交通事故（225例患者）及日常生活常见事故（210例患者）所致颅脑损伤的临床表现、诊断及治疗的特点。交通事故所致颅脑损伤非常严重（脑大面积和多发性挫伤、颅骨骨折、颅内血肿的发生率高），且常合并内脏和骨骼损伤。全面的临床和神经学检查、颅骨X线检查、脑回波描记术、脑血管造影及颅骨环钻术有助于准确揭示和确定脑损伤的性质。交通事故所致颅脑损伤的综合治疗包括强化治疗措施，如有必要，还包括手术干预。与日常生活事故相比，交通事故所致创伤的特点是脑功能缺陷更严重，患者病残情况更严重。
