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Plateau severe head injury 26 cases of shock


Low. However, they use expensive nitrogen benzylpenicillin were the results than satisfactory 3. Low oxygen pressure in the high altitude environment, the combined body of grams of cranial trauma injury wounded rodents. The more serious damage to brain tissue hypoxia. More solid after the emergence of the rapid development of cerebral edema are the high voltage. The importance of early craniotomy to prevent gnawing thousands of secondary damage, intraoperative exploration should be comprehensive and complete removal of intracranial hematoma and necrotic tissue as required. Decompressive craniectomy in parallel, such as brain contusion, brain swelling and serious, resectable some stars very,[link widoczny dla zalogowanych], very non-important function of the amount of area Nie organization. Implementation of the decompression. Decompressive craniectomy area should be medium size, too small (diameter less than 5cm) will not achieve the purpose of decompression, and prone to gnawing prolapse, incarceration and other serious consequences,[link widoczny dla zalogowanych], but not the bigger and better decompression zone, the key is the timing of surgery should be early and clear the blood 1. Chinese People's Liberation Army Second Second pressure hospital. Golmud City, Postal Code 816000 swelling and necrosis of brain tissue should be complete, and reliable hemostasis of the group underwent decompressive craniectomy (including the amount of Ying decompressive craniectomy) 21 down. Accounted for 8o. 8; simultaneously fall within the vacuum 7. 4. After a serious injury profile,[link widoczny dla zalogowanych], the wounded body resistance significantly decreased, combined with cold and oxygen, air dry and the burden of the wounded heart of a large, liquid capacity of the small, anti-shock prone to nap during the edema fluid overload complications. Once nap infections or the occurrence of ARDS. Increased hypoxia, combined with low partial pressure of oxygen and other regional factors. Prompted the development of cerebral edema cerebral nap soon the vicious cycle of SARS, even though a lot of oxygen, vote for the high-dose antibiotics, de Chinese Journal of Trauma 1993 No. 5 9 water and ventilation, the combined therapy, also difficult to obtain good results. Solid pulmonary complications in this group 4 patients died, therefore, necessary to strengthen the prevention of postoperative pulmonary complications. Shock corrected, should be principles of brain injury. Restricted fluid intake. So you can maintain the systolic blood pressure 10.7kPa. Early on coma patients should tracheotomy. Strengthen the tracheotomy care. In addition systemic support therapy should not be ignored. In short, the special alpine anoxic environment, how to save in injury prevention and treatment of pulmonary complications, pulmonary syndrome, block the vicious circle of the brain. So that more of the wounded were rescued, the majority of medical workers is a plateau region important topic worthy of study. Bear scratches Kangzhong Lin Liang Zhiwen 32 cases in our hospital is located in the forest in Tibet. 3IOO meters above sea level. 196o to 1991, 32 patients admitted to the bear scratched. Are as follows. Clinical data in this group 28 males and 4 females down. Youngest 4 years old. Maximum 61-year-old scratched in 32 cases of bites accompanied by 8 down. The group of 32 patients had head and face scratched, including the limbs or trunk ll cases with head and face scratched scratched mainly for skin and soft tissue facial mask samples were avulsed,[link widoczny dla zalogowanych], and the combination of l4 cases of eye injury, ear injury in 9 cases. 7 inverted nasal fracture. 3 down on the jaw fractures, traumatic brain injury in 2 cases. Down 31 healed. 1 death cause of death was intracranial hematoma. Discussion (1) bears a ferocious animal. More people live in boreal forest health, the summer season of mountain crops mature amnesty. Frequent bear activity. More time in this group were injured in the 6 ~ I1 month. Especially in the evening by pointing up. (2) bears the characteristics of e ① scratched the group of 32 patients had head and face scratched. ② more associated injuries, and the combination of nasal bone fracture, maxillary fracture, brain injury 12 ③ the head and face down a rich blood circulation. Avulsion of skin and soft tissue bleeding after more shock occurred in 6 cases in this group bear scratches planing surface ④ more dirty, covered with mud and other foreign matter, hi susceptible to infection. (3) value for the end of the early Qing planing planing surface irregularity bear scratches. Plane in the clear when we first clean the wound with large amounts of saline, did recover in the facial appearance, first as co-localization Zha, Zha edges together and then edge observation. As quasi-light facial deformities. Associated with shock patients, attention should be fluid resistant shock. (4) to correctly handle the associated injury. Of a nasal bone fracture. Should carefully look for bone and soft tissue debris and its subsidiary, made possible the nose and nasal shape. To have eye injury should be invited to an ophthalmologist for appropriate specialist treatment. To have the coma patients. Should be alert to head injury, the group 1 died. Is the delay in diagnosis and treatment of intracranial hematoma 1 People's Liberation Army Hospital, the first fifteen. Tibet zip code 850400 I want to notice the editorial department to meet the growing medical industry. Improve the journal quality. And further expansion of international academic exchanges. Publication intended to make the following changes in 1994 1. Large format 16 to drive internationally. Take issue. 64 pages each issue. Large format spacious than the original amount of information in Chinese-style slightly. 2 after the addition of English in the Chinese part of the treatise. 3. Laser photo-typesetting, cover page for the bond paper. The body is offset paper. Paper and printing quality were all improved. 4. Priced at 5.20 yuan each, base 31.2O per year. And subscription and Cigao.