open traumatic brain injury
Introduction
Introduction to open brain injury Open head injury refers to the destruction of the skull and dura mater, and the brain tissue communicates directly or indirectly with the outside world. About 17% of brain damage. Usually caused by sharps, blunt blows and falls and falls, the war is caused by firearms. The clinical manifestations vary greatly depending on the cause, method and intensity of the injury, but most of them have different degrees of coma, wounds in the wound and wound, focal brain symptoms and easy to concurrent infection, especially firearm-related brain injury. The injuries are more serious, faster, less effective, more sequelae and higher mortality. basic knowledge Sickness ratio: 0.1% Susceptible people: no specific population Mode of infection: non-infectious Complications: brain abscess
Cause
Causes of open brain injury
Mostly caused by sharps, blunt blows, and falls and falls, the war was caused by firearms.
Prevention
Open craniocerebral injury prevention
1. High-risk groups should pay attention to health care, take medication according to doctor's advice, and reduce the predisposing factors.
2, the patient's family should strengthen the care to avoid emotional ups and downs and abnormal exercise.
Complication
Open brain injury complications Complications
Easy to contract infection, intracranial suppurative inflammation and brain abscess.
Symptom
Open craniocerebral injury symptoms Common symptoms Open injury shock Brain injury After headache Periodic sleepiness Strong disease Cerebrospinal fluid rhinorrhea huge skull defect
1. Broken scalp, bleeding in the wound or wound, visible bone fragments and other foreign bodies, sometimes see cerebrospinal fluid leakage and brain tissue overflow, a large amount of bleeding occurs shock.
2. There are many coma after injury, some of which are extensive brain contusion and brain dryness. A few have no coma, but can have symptoms of increased intracranial pressure and secondary coma due to intracranial hematoma.
3. Focal brain symptoms such as hemiplegia, aphasia, and localized epilepsy.
4. Easy to deal with wound infection, intracranial suppurative inflammation and brain abscess.
Examine
Open brain injury examination
Skull X-rays show skull fractures, intracranial foreign bodies (such as bone fragments, shrapnel or bullets), and head CT and MRI can show brain contusion and hematoma.
Diagnosis
Diagnosis and diagnosis of open craniocerebral injury
1. There is a history of trauma, bleeding can be seen in the wound, and some see cerebrospinal fluid and brain tissue spillover.
2. There are often coma, a few can be coma.
3. Localized brain symptoms such as hemiplegia, aphasia, and localized epilepsy.
4. Some patients may have increased intracranial pressure due to intracranial hematoma or intracranial infection.
5. Skull X-ray shows skull fractures, intracranial foreign bodies (such as bone fragments, shrapnel or bullets), head CT and magnetic resonance examination can show brain contusion and hematoma.
