Early treatment of central herniation observation and prognosis of dual frontal concurrent severe cerebral contusion

Abstract

Objective To investigate the bilateral frontal cerebral contusion complicated by severe central herniation early treatment .Methods 54 cases of severe bilateral frontal cerebral contusion complicated by central herniation patients were randomly divided into the observation group and control group using number table .The obser-vation group were taken the early surgical treatment and the control group were not underwent surgery .The clinical symptoms and prognosis of treatment were compared .Results After treatment ,the GCS score of the observation group was （12.98 ±3.85）,which was higher than （11.35 ±4.12） of the control group（t=2.354,P〈0.05）,and the total time of the observation group ICU hospitalization time was significantly lower than the control group （t=10.007,P〈0.01;t=19.278,P〈0.01）;The good recovery rate of the observation group （40.74%） was higher than the control group（14.81%）（χ2 =4.523,P〈0.05）,the residual rate of the observation group ,severe disability rate,plant sur-vival and mortality （33.33%,14.81%,7.41%,3.70%） were lower than that of the control group （44.44%, 22.22%,11.11%,7.41%）,but the difference was not significant between the two groups （χ2 =2.587,2.135, 2.268,2.189,all P〉0.05）.Conclusion Dual frontal severe brain injury complicated by central herniation patients with early diagnosis and surgical treatment method using craniotomy decompression can significantly improve the cure rate and effectively improve the prognosis of patients with treatment . Key words: Craniocerebral trauma; Frontal lobe; Contusions; Intracranial pressure; Hernia,cerebral