Abstract

The analysis of the stages of emergency medical care, examination and treatment of 300 patients with traumatic intracranial hematomas after severe traumatic brain injury was carried out. According to our data, a clear implementation of treatment and diagnostic measures ensures maximum urgency and quality of medical care for patients with traumatic intracranial hematomas. Indications for emergency surgical treatment in patients with traumatic intracranial hematomas are: the presence of a picture of acute compression of the brain against a background of gross clinical decompensation. Conservative treatment is required for patients with traumatic brain injury of all degrees of severity without signs of compression of the brain. Conservative treatment of sheath hematomas of small volume, intracerebral hematomas and contusion hemorrhagic foci is allowed only in conditions of constant MSCT or MRI control. Timely provision of emergency medical care, comprehensive diagnosis and differential treatment of patients with traumatic intracranial hematomas in severe traumatic brain injury allows us to establish a diagnosis in the acute period of the injury and determine the treatment tactics. This helps to reduce mortality, disability and hospitalization for patients with severe traumatic brain injury

Description