Fraerman A P
Zh Vopr Neirokhir Im N N Burdenko. 1981 May-Jun(3):3-7.
On the basis of 109 cases with foci of brain crushing their definition and working classification is given according to localization, spread and depth of the damage to the brain matter and the degree of compensation of the function of the brain and the organism as a whole. The concepts of "focus of crushing" and "focus of contusion" are distinguished. Four parameters are distinguished according to which decompensation in foci of crushing may develop: the condition of the vital functions, general cerebral and focal neurological symptoms, the findings of auxiliary examination methods. Attention is drawn to the need for early active diagnosis and the performance of operation in the phase of moderate clinical decompensation, i.e. before pronounced signs of compression and dislocation of the brain develop. Microsurgical techniques promote radical removal of the foci of crushing and thorough hemostasis.
基于109例脑挫裂伤病例，根据损伤部位、范围、对脑组织的损伤深度以及脑功能和机体整体功能的代偿程度，给出了其定义和实用分类。区分了“挫裂伤灶”和“挫伤灶”的概念。根据挫裂伤灶可能出现失代偿的情况，区分出四个参数：生命功能状况、全脑和局灶性神经症状、辅助检查方法的结果。强调了早期积极诊断的必要性以及在中度临床失代偿阶段（即在脑受压和移位的明显体征出现之前）进行手术的重要性。显微外科技术有助于彻底清除挫裂伤灶并实现彻底止血。
