Penetrating craniocerebral injuries in civilians
作者:
LeviL.,
LinnS.,
FeinsodM.,
期刊:
British Journal of Neurosurgery
(Taylor Available online 1991)
卷期:
Volume 5,
issue 3
页码: 241-247
ISSN:0268-8697
年代: 1991
DOI:10.3109/02688699109005183
出版商: Taylor&Francis
关键词: Penetrating craniocerebral injury;head injury in civilians;CSF leaks
数据来源: Taylor
摘要:
During a 6-year period (1984–89), 31 patients were treated at Rambam Medical Center with penetrating craniocerebral injuries (PCCI) not associated with military action. Eighteen (58%) patients died during their initial hospitalization; only two of them had admission Glasgow Coma Scale (GCS) above five. The admission GCS coupled with the mode of injury (type of missile and motivation of shooting) were valuable for early accurate prognosis assessment. Patients with admission GCS of 3 and 4 invariably died despite rapid treatment and attempted haematoma evacuation. The neurological status, CT appearance, as well as the motivation of shooting should be considered in order to assess accurately the possible outcome. Compared with our military series of 113 patients with PCCI, there were more extensive injuries, although the mean period until neurosurgical treatment was the same. Long-term complications connected to dural tears remote from the entrance wound occurred in three of the survivors.
点击下载:
PDF (461KB)
返 回