Aim: to assess the results of the activities of the neurosurgical service of the Republican Research Center ofEmergency Medicine (RRCEM) over a twenty-year period of operation with an analysis of the results of theprovision of surgical care to victims with TBI.Material and methods. The archival data of 70 thousand patients who have been on treatment since 2001have been analyzed, of which 30 thousand cases underwent surgical treatment. A comparative analysis of thedeveloped new methods of treatment in the neurosurgical department of the RRCEM was carried out.Results: According to our data, brain contusion with isolated traumatic brain injury occurs in 18.2% of cases.A new method of surgical treatment of TBI is proposed - an additional microsurgical opening of the braincisterns with the standardization of the operation technique. It was revealed that in patients with postoperativecontrol of intracranial pressure (ICP), there is a decrease in mortality to 5%. Based on a comparative analysisof treatment results, a new algorithm for the treatment of patients with TBI and a scale for non-invasiveassessment of ICP have been developed. At the same time, there is a tendency towards a decrease in the overallmortality rate, an increase in the survival rate of patients with initial impairment of consciousness to coma.
| Mualliflar | К. Э. Махкамов, A. B. Salaev, М. К. Махкамов, D. U. Israilov |
|---|---|
| Jurnal | Shoshilinch tibbiyot axborotnomasi |
| Nashr sanasi | 2022-01-01 |
| Jild | 14 |
| Son | 4 |
| Til | en |
| DOI | 10.54185/tbem/vol14_iss4/a11 |
DOI: 10.54185/tbem/vol14_iss4/a11 · Maqolaning asl sahifasi · PDF
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