ĐẶC ĐIỂM LÂM SÀNG CỦA NGƯỜI BỆNH ĐƯỢC PHẪU THUẬT CHẤN THƯƠNG SỌ NÃO TẠI KHOA HỒI SỨC TÍCH CỰC NGOẠI KHOA - BỆNH VIỆN HỮU NGHỊ ĐA KHOA NGHỆ AN NĂM 2023

Abstract

Objective: The study was conducted to describe the clinical characteristics of patients undergoing traumatic brain injury surgery at the Department of Surgical Intensive Care, Nghe An General Friendship Hospital in 2023. Subjects and methods: All patients after TBI surgery are treated at the Department of Surgical Intensive Care, Nghe An General Friendship Hospital from January 2023 - July 2023. Research design: Cross-sectional descriptive study. Results: The study included 57 patients from 13 to 87 years old, of which the majority of patients were over 50 years old (40.4%). Male patients accounted for 79.0%, 3.8 times higher than female patients (21.0%). The main cause of TBI is traffic accidents (70.0%). The main clinical symptoms of patients before surgery were mental disorders (61.4%), headaches (33.3%), and vomiting (31.6%). At the time of leaving the department, there were no patients vomiting, bleeding from the ears, or bruising around the eyes, but the number of patients with post-operative headaches increased to 38.6%. Before and after surgery, the percentage of patients with paralysis did not change (7.0% of patients with half of their body paralyzed). Before surgery, the percentage of patients with bilateral non-dilated pupils and PXAS (+) was 86% and increased to 100% at the time of transfer out of the department. Conclusions: TBI was common in patients over 50 years old, mostly men. The main cause was traffic accidents. The clinical characteristics of patients were relatively diverse.