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Zhao Xuejun – 1st expert on this subject based on the ideXlab platform
treatment strategies for Brain Hernia combined with hemorrhagic shock following severe traumatic Brain injuryJournal of Chongqing Medical University, 2013Co-Authors: Zhao XuejunAbstract:
Objective:To explore emergency treatment strategies for patients with Brain Hernia combined with hemorrhagic shock after severe traumatic Brain injury and to discuss their effects on prognosis.Methods:A retrospective analysis was made on 32 patients(observation group)with Brain Hernia combined with hemorrhagic shock treated by selective strategies on the basis of integrative strategies from September 2009 to April 2011;another 22 patients(control group)with the same injuries were treated by routine strategies. Mortality within one week and glasgow outcome score(GOS)at six months after injury were compared between two groups.Results: Mortality rate was 34.4%(11/32)in observation group and 45.5%(10/22)in control group two weeks later(P 0.05).GOS disability rating(Ⅰ,Ⅱ level)were higher in observation group than in control group at six months after injury;GOS disability rating(Ⅲ,Ⅴ level)were lower in observation group than in control group at six months after injury(χ 2 =4.909,P=0.027).Conclusions:Early selective strategies based on degree of shock combined with integrative strategies may obtain better outcome for patients with Brain Hernia combined with hemorrhagic shock after severe Brain injury.
Liu Y – 2nd expert on this subject based on the ideXlab platform
Brain Hernia time hypertension shell nucleus hemorrhage surgical treatmentSichuan Medical Journal, 2010Co-Authors: Liu YAbstract:
Objective To summarize and to explore the period of hypertensive cerebral hemorrhage cerebral Hernia surgical methods and efficacy.Methods Retrospective analysis of 38 cases of bleeding have occurred in patients with hypertensive cerebral Hernia using cranial hematoma,decompressive craniectomy after the surgical treatment,concluding judge its efficacy.Results Of tentorial Herniation in 29 cases,postoperative survival in 25 cases,accounting for 86%,the foramen magnum Herniation in 9 cases survived for 2 cases accounted for 22%.Conclusion Hernia hypertensive putamen hemorrhage period,if not enter the foramen magunm Herniation period,surgical treatment should be positive,but occurs after the foramen magnum Herniation,then be selective surgery.
L I Youfu – 3rd expert on this subject based on the ideXlab platform
clinical outcomes of 84 cases of traumatic Brain HerniaJournal of Traumatic Surgery, 2012Co-Authors: L I YoufuAbstract:
Objective To investigate the relationship between cerebral Hernia following craniocerebral injury and prognosis,and to summarize the effects and experience of surgery in the Brain Hernia patients.Methods Data of 84 traumatic Brain Hernia patients hospitalized in our department from Jan.2008 to Dec.2011 were analyzed.There were 56 males and 28 females;age ranged from 6-88 years,with an average of 42.7 years.Five patients were less than 18 years old,57 patients 18-60 years old,and 22 patients more than 60 years old.The injury causes analysis indicated 31 cases of road accident injury,36 cases of falling injury,17 cases of other injury.Preoperative Glasgow Coma Scale(GCS) indicated score ranging from 3-7,including 28 cases of 6-7 scores,37 cases of 4-5 scores,19 cases of 3 scores.During pre-operation,uni-lateral mydriasis was found in 62 cases,bi-lateral mydriasis in 22 cases.The diagnosis was based on clinical and imaging manifestations,emergency protocols were developed,protocols were optimized and improved decompressive-craniectomy was then performed.After surgery,all patients were treated by the combined therapy of intra-cranial pressure monitor and mild hypothermia therapy.Results Totally 28 cases achieved good recovery(33.33%),24 cases(28.57%) mild disability,14 cases severe disability or plant survival(16.67%),18 cases deaths(21.43%).Posterior cerebral artery infarction occurred in 11 cases.Better effect could be achieved when surgical decompression was performed for cerebral Hernia patients with higher GCS score,resulting in better prognosis.Conclusion In order to reduce the patient’s death and disability,traumatic Brain Hernia patients should be operated immediately and be effective monitoring performed after surgery treatment.