Arquivos de neuro-psiquiatria · 2008
Decompressive craniotomy: prognostic factors and complications in 89 patients.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Faleiro Rodrigo Moreira, Faleiro Luiz Carlos Mendes, Caetano Elisa, Gomide Isabella, Pita Cristina, Coelho Gustavo, Brás Ellen, Carvalho Bruna, Gusmão Sebastião Nataniel Silva
Аннотация
Decompressive craniotomy (DC) is applied to treat post-traumatic intracranial hypertension (ICH). The purpose of this study is to identify prognostic factors and complications of unilateral DC. Eighty-nine patients submitted to unilateral DC were retrospectively analyzed over a period of 30 months. Chi square independent test and Fisher test were used to identify prognostic factors. The majority of patients were male (87%). Traffic accidents had occurred in 47% of the cases. 64% of the patients had suffered severe head injury, while pupillary abnormalities were already present in 34%. Brain swelling plus acute subdural hematoma were the most common tomographic findings (64%). Complications occurred in 34.8% of the patients: subdural effusions in 10 (11.2%), hydrocephalus in 7 (7.9%) and infection in 14 (15.7%). The admittance Glasgow coma scale was a statistically significant predictor of outcome (p=0.0309).