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Application of a “United Scoring Method” to Patients with Traumatic Brain Injury in the Critically Surgical State

DOI: 10.4236/oalib.1102713, PP. 1-6

Subject Areas: Neurology

Keywords: Traumatic Brain Injury, Indication for Surgery, Critical Surgery State

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Abstract

Introduction: To investigate a more reasonable treatment strategy for traumatic brain injury in the critical surgery state and increase the clinical therapeutic effects. Methods: Fifty-nine patients with traumatic brain injury in the critical operation state were randomly divided into an experimental group (n = 31) and a control group (n = 28). Patient’s prognosis was compared between these two groups. Results: According to the Glasgow Outcome Scale scoring, 23 patients presented with low disability, 7 with moderate disability, 1 with severe disability, and no patients were in the persistent vegetative state or died in the experimental group; 14 patients presented with low disability, 8 with moderate disability, 3 with severe disability, 2 were in the vegetative state, and 1 died in the control group. Patient’s prognosis in the experimental group was significantly better than that in the control group (P < 0.05). Conclusion: The combined scoring system based on Glasgow Outcome Scale, intracranial pressure value and CT findings is of significance in the management of patients with traumatic brain injury in the critical surgery state.

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Wang, K. , Li, H. , Li, Z. , Zhang, N. and Quan, Z. (2016). Application of a “United Scoring Method” to Patients with Traumatic Brain Injury in the Critically Surgical State. Open Access Library Journal, 3, e2713. doi: http://dx.doi.org/10.4236/oalib.1102713.

References

[1]  Wang, B.H., Hui, G.Z. and Pei, Y.E. (2006) Analysis on Factors Influencing the Therapeutic Effects of Acute Traumatic Extradural Hematoma (a Report of 484 Cases). Chinese Journal of Clinical Neurosurgery, 11, 341-343.
[2]  Li, Z.Q., Shen, D.Q., Quan, Z., Ming, C. and Ying, L. (2009) Analysis on Prognosis-Related Factors in Patients with Severe Traumatic Brain Injury. Chinese Journal of Primary Medicine and Pharmacy, 16, 1361-1362.
[3]  Wu, Z.D. and Wu, Z.H. (2010) Surgery Science. 7th Edition, People’s Medical Publishing House, Beijing.
[4]  Kiehna, E.N., Huffmyer, J.L., Thiele, R.H., Scalzo, D.C. and Nemergut, E.C. (2013) Use of the Intrathoracic Pressure Regulator to Lower Intracranial Pressure in Patients with Altered Intracranial Elastance: A Pilot Study. Journal of Neurosurgery, 119, 756-759.
http://dx.doi.org/10.3171/2013.4.JNS122489
[5]  (2011) Chinese Congress of Neurological Surgeons, Chinese Committee of Neurological Injury Experts: Chinese Expert Consensus on Intracranial Pressure Monitoring in Craniocerebral Trauma. Chinese Journal of Neurosurgery, 27, 1073-1074.
[6]  Yan, Y.K., Liu, H.J., Li, J.Y., Cao, H.Z., Yan, C.M., Feng, Y.M. and Shi, J.C. (2010) Hematoma Volume Measuring Software and Tada Formula: Comparison and Application. Hebei Medical Journal, 32, 2149-2150.
[7]  Chen, G.L., Zhou, W., Ren, H.J. and Chen, W.Y. (2005) Clinical Significance of Cisterna Ambiens Changes in Acute Traumatic Brain Injury. Zhejiang Journal of Traumatic Surgery, 10, 14-15.
[8]  Gao, L. (2013) Correctly Evaluating the Role of Intracranial Pressure Monitoring in the Treatment of Severe Traumatic Brain Injury. Chinese Journal of Traumatology, 29, 100-102.
[9]  Farahvar, A., Gerber, L.M., Chiu, Y.L., Carney, N., H?rtl, R. and Ghajar, J. (2012) Increased Mortality in Patients with Severe Traumatic Brain Injury Treated without Intracranial Pressure Monitoring. Journal of Neurosurgery, 117, 729- 734.
http://dx.doi.org/10.3171/2012.7.JNS111816
[10]  Talving, P., Karamanos, E., Teixeira, P.G., Skiada, D., Lam, L., Belzberg, H., Inaba, K. and Demetriades, D. (2013) Intracranial Pressure Monitoring in Severe Head Injury: Compliance with Brain Trauma Foundation Guidelines and Effect on Outcomes: A Prospective Study. Journal of Neurosurgery, 119, 1248-1254.
http://dx.doi.org/10.3171/2013.7.JNS122255
[11]  Chen, X.P. and Wang, J.P. (2013) Surgery Science. 8th Edition, People’s Medical Publishing House, Beijing.
[12]  Jiang, P.X., Zhang, F., Shi, D.S., Bao, Q.C. and Wu, W.Y. (2013) Conservative Treatment of Acute Extradural Hematoma: Dynamic CT Scanning and Turnover Analysis. Zhejiang Journal of Traumatic Surgery, 18, 680-682.

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