Wednesday, March 12, 2008

Head trauma

Overview scalp laceration more sharp or blunt objects from injury. Rip size, depth, different margins of rows or irregularly, sometimes accompanied by skin injury or defect, as the scalp vascular rich, vascular rupture is not easy to close, even a small bleeding wound was more serious, or even into shock. Cause pathogenesis traumatic. Scalp laceration caused by the scalp dragged by the strong result, the debate involved in rotating machinery, so that part of or the entire scalp since Galeal class or avulsion under the periosteum, heavy damage, hemorrhage, shock-prone. Symptoms scalp laceration more sharp or blunt objects from injury. Rip size, depth, different margins of rows or irregularly, sometimes accompanied by skin injury or defect, as the scalp vascular rich, vascular rupture is not easy to close, even a small bleeding wound was more serious, or even into shock. Conventional physical inspection check : blood; Conventional urine; It routine; Biochemical whole; Electrocardiogram; Such as chest. First aid treatment of the scalp laceration that could be pressure bandage to stop bleeding. Early debridement, the wound to remove foreign bodies, control of bleeding, surgery watch skull fracture and meningeal suture wounds after injury. Right there scalp tissue defects underwent subcutaneous release or transfer methods such as skin repair. Right after injury two-three days of the wound, but also suited creators, some suture, and increase drainage. Emergency scalp laceration, covered with sterile wound dressings, compression bandage to stop bleeding; Meanwhile avulsion of the scalp with sterile gauze bandage standby for the 12-hour period debridement suture. Got the scalp avulsion, viable small vascular anastomosis, scalp replantation, or avulsion of the scalp make a full-thickness skin graft or were replanted. Small avulsion transfer scalp. Large areas of the scalp, skull and the meninges defect can be used with vascular omentum coverage of the wound, granulation tissue to grow skin. Wound infection or skin infection losers under the general management of the wounds. After the skull was exposed, for every 1 cm deep plate impaired bored or skull plate in addition to the hammer, When granulation tissue growth after skin grafting.

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