Open brain injury

Overview of open brain injury refers to the skull and dura damaged brain tissue directly or indirectly linked with the outside world. About brain injury 17%. Usually caused by sharp and blunt instruments to combat and crash with injuries caused by falls in wartime is more injured by firearms. Clinical manifestations of injury, form and violence sizes and disparities, but most have different levels of coma, wound and the wound bleeding, and the focal cerebral symptoms of being infected easily, especially firearms craniocerebral injury, its more than serious injury and changes fast and poorer treatment outcomes, resulting in high mortality rates and more. Usually causes a non-firearm injuries were seen, knife, Fukan injuries in wartime, caused by firearms. A clinical performance. Damaged scalp wound or wound bleeding, we can see bone fragments and other foreign bodies, sometimes see leakage of cerebrospinal fluid and brain tissue spills, massive bleeding occurred shock. 2. Multiple injuries are unconscious, part of the extensive brain injury and brain stem injury. No minority unconscious, but because of intracranial hematoma and emerging symptoms of increased intracranial pressure and the secondary coma. 3. Focal cerebral symptoms such as hemiplegia, aphasia, the Council of endogenous epilepsy. 4. Easy with injuries tract infections, there intracranial suppurative inflammation and brain abscess. A diagnosis. A history of trauma, bleeding wounds can be seen, some see cerebrospinal fluid and brain tissue spills. 2. Often unconscious, a few may not unconscious. 3. Secretary-brain symptoms such as hemiplegia, aphasia, the Council of endogenous epilepsy. 4. Some patients may be due to intracranial hematoma or intracranial infection appeared intracranial hypertension performance. 5. Skull X-ray showed the skull fracture, intracranial foreign body (such as bone fragments, shrapnel or bullets, etc.) CT and MRI can show that the cerebral contusion and hematoma. For a principle. Timely debridement therapy. 2. The use of antibiotics to prevent infection. 3. Prevent cerebral edema. 4. Symptomatic support the principle of a drug treatment. Use immediately after injury refined tetanus antitoxin. through the blood-brain barrier easy choice of antibiotics, such as penicillin, chloramphenicol, the Joint medication to prevent infection, mainly to intravenous drug use. 2. Intracranial infection, should take the inflammatory exudates or abscess fluid for bacteria cultivation and drug sensitivity testing, choice of effective antibiotics. Ceftazidime serious intracranial infection than ideal results. 3. Intracranial pressure increased use of mannitol, furosemide and other drugs to lower intracranial pressure, but we must pay attention to the blood electrolyte changes. 4. Give neurotrophic drugs. 5. Attention to the supportive therapy, such as blood transfusions, human serum albumin added. 6. According to the lesion and the degree of brain damage and, if necessary, OK antiepileptic therapy 3-6 months.