Mikhaĭlenko A A
Voen Med Zh. 1993 Jul(7):17-8.
The approach to the management of slight nonpenetrating cerebral casualties must be seriously revised in order to repudiate the idea to consider these traumas as "the last residual element". Multiple defects in diagnosis and treatment of such trauma interconnect with various posttraumatic syndromes, which can be disclosed by close examination. Frequently the postcontusional disorders occur in this category of wounded because of their classification as "minor casualties". The prevention of scar and commissure processes, atrophies, hypertensive or hydrocephalic disorders, as well as diminishing of incapacitation rate could be achieved by improved methods of treatment, opportune application of modern diagnostical facilities, and broad clinical experience gained in field conditions. Nevertheless, many organizational problems of diagnosis and treatment have no clear-cut decisions and need further scientific researches.
必须认真修订对轻度非穿透性脑损伤伤员的处理方法，以摒弃将这些创伤视为“最后的残留因素”的观念。此类创伤在诊断和治疗方面的多种缺陷与各种创伤后综合征相互关联，通过仔细检查可以发现这些综合征。由于这类伤员被归类为“轻伤”，因此挫伤后障碍在他们中经常出现。通过改进治疗方法、适时应用现代诊断设备以及在实地条件下积累的丰富临床经验，可以预防瘢痕和粘连形成过程、萎缩、高血压或脑积水疾病，并降低失能率。然而，诊断和治疗的许多组织问题尚无明确的解决方案，需要进一步的科学研究。
