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Published: 2023-08-22
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DOI: https://doi.org/10.52852/tcncyh.v168i7.1757
Issue
Vol. 168 No. 7 (2023)
Section
Các bài báo
How to Cite
Mạnh, B. H. ., Huy, P. V. ., Hưng, C. T. ., Cương, B. X. ., Thành, L. P. ., & Sơn, Đồng V. . (2023). 13. Outcomes of decompressive craniectomy procedure for severe traumatic brain injury, evaluate some prospactive factors. Journal of Medical Research, 168(7), 115-123. https://doi.org/10.52852/tcncyh.v168i7.1757

13. Outcomes of decompressive craniectomy procedure for severe traumatic brain injury, evaluate some prospactive factors

Bui Huy Manh, Phan Van Huy, Chu Thanh Hung, Bui Xuan Cuong, Le Phung Thanh, Dong Van Son

Main Article Content

Abstract

Severe traumatic brain injury (TBI) is when clinically the patient has a Glasgow coma score (GCS) from 3 to 8 points. Despite many advances in diagnosis, treatment and understanding of pathogenesis, doctors still face many difficulties to treat the condition. Treatment of severe TBI requires a combination of intensive care unit, medical, surgical, and functional rehabilitation measures, but the morbidity and mortality rates are still very high. We study the results of decompressive craniotomy (DC) for severe TBI on 68 patients, in one center, including 3 months postoperative follow-up. Preoperative clinical diagnosis according to GCS is as follows: 13.2% had GCS of 4 - 5 points, 86.8% had GCS scores of 6 - 8 points. Results after surgery according to Glasgow outcome scale (GOS): 1 - 3 points accounted for 48.53%, good results with GOS 4 - 5 points accounted for 51.47%. Factors that adversely affect the outcome of postoperative treatment are: low Glasgow coma scale (GCS), preoperative pupil dilation, on CT Scanner with midline shift ≥ 10mm, basal cistern effacement signal and Rotterdam score ≥ 5 points.

Article Details

Keywords

Traumatic brain injury, severe traumatic brain injury, decompressive craniotomy

References

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