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首页> 外文会议>International Conference on Recent Advances in Neurotraumatology >Neuroprotection, Neuroplasticity, Neuroregeneration, Neurorehabilitation and Psichological Support in Severe Brain Injury (SBI)
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Neuroprotection, Neuroplasticity, Neuroregeneration, Neurorehabilitation and Psichological Support in Severe Brain Injury (SBI)

机译：神经保护，神经塑性，神经痛，神经造成，神经痛和颅脑损伤（SBI）

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Severe brain injuries (GCS 3-8) represent an important cause of mortality and morbidity, especially in patients with active period of live (20-40 years old). The authors studied non selected consecutive 68 patients with SBI (between 6-66 years old), 41 male and 27 female in period 2003-2005 (3 years) at the Hospital "Bagdasar-Arseni", Bucharest. All intracranial haematoma was operated in the first 6 hours after admission. Excluded criteria: all patients in SBI status with multiple trauma with or without intracranial haematomas. All 68 cases were monitoring in intensive care unit (ICU). At admission GCS 3-4 was 20 cases (29,4%), GCS 5-6 was 19 cases (27,9%), GCS 7-8 was 29 cases (42,6%). In all cases the admission CT scan was performed in the first 6 hours; The following CT scan was performed at 24, 48, 72 hours and after 1 week to verified the brain lesion and intracranial mass lesion. In 23 cases (33,8%) head undergone to the operative procedures: extradural haematoma 11 cases (16,1%), subdural haematoma 7 cases (10,2%), intraparenchimal haematoma 5 cases (7,3%). Additional in 7 cases (10,2%) we report penetrated head injury. To predictors outcome factors in this series were: Early neurotrophic drugs and active neurorehabilitation were done immediately after admission and neuroimaging diagnosis in intensive care unit. In our data good recovery was in 19 cases (27,9%), moderate disability 7 cases (10,2%), severe disability 17 cases (25%), vegetative state 5 cases (7,3%), death 20 cases (29%).
机译：严重的脑损伤（GCS 3-8）代表了死亡率和发病率的重要原因，特别是在活跃时期的患者（20-40岁）。作者在医院的“Bagdasar-Arseni”，Bagdasar-Arseni的2003 - 2005年（3年），41名男性和27名女性中，患有无表的68名患者（6-66岁），41名男性和27名女性。所有颅内血液血肿都在入院后的前6小时内运营。被排除的标准：所有患者的SBI状态，具有多个创伤或没有颅内血肿。所有68例患者都在重症监护室（ICU）中进行监测。在入院GCS 3-4中是20例（29,4％），GCS 5-6是19例（27,9％），GCS 7-8是29例（42,6％）。在所有情况下，入院CT扫描在前6小时内进行;下列CT扫描在24,48,72小时和1周后进行，以验证脑病变和颅内质量病变。在23例（33,8％）头部经过手术手术：外血肿11例（16,1％），硬膜体血肿7例（10,2％），颅内血肿5例（7,3％）。额外的7例（10,2％）我们报告了渗透头损伤。预测该系列的结果因素是：在密集护理单位入院和神经影像诊断后立即进行早期神经营养药物和活性神经嗜睡。在我们的数据中，良好的回收率在19例（27,9％）（27,9％），中度残疾7例（10,2％），严重残疾17例（25％），营养态5例（7,3％），死亡20例（29％）。

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