Lebedev V V, Aĭde Kh B, Tokareva L D
Zh Vopr Neirokhir Im N N Burdenko. 1981 Jul-Aug(4):23-30.
The authors studied 428 case records of patients who had been treated at 9 multiprofile hospitals and died from a severe craniocerebral trauma. The defects revealed in aid given before hospitalization and in the hospital allowed the main principles of the organization to aid and treatment to be formulated: hospitalization of patients with severe craniocerebral trauma in specialized in-patient clinics; the conduct of a complex of neurosurgical examinations simultaneously and in parallel with resuscitation measures; early surgical intervention (within the first 3-6-8 hours after infliction of the trauma) which must be radical, i. e. including extensive trephination of the skull (osteoplastic or resection), total removal of intracranial hematomas and foci of contusion-crushing of the brain, active aspiration dosaged drainage of the postoperative wound and, whenever indicated, tentoriotomy (in specialized departments).
作者研究了9家综合医院收治的428例因严重颅脑创伤死亡患者的病例记录。住院前及住院期间救助中发现的缺陷促使制定了救助和治疗的主要原则：将严重颅脑创伤患者收治到专门的住院诊所；在进行复苏措施的同时并行开展一系列神经外科检查；早期手术干预（创伤发生后的前3 - 6 - 8小时内），手术必须彻底，即包括广泛的颅骨环钻术（骨成形术或切除术）、彻底清除颅内血肿和脑挫伤灶、术后伤口的主动定量吸引引流，以及必要时进行小脑幕切开术（在专科科室）。
