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Date Published: 25/09/2023
Abstract Views: 187
Views pdf: 111
DOI: https://doi.org/10.51298/vmj.v530i1B.6689
Issue
Vol. 530 No. 1B (2023)
Section
Các bài báo
How to Cite
Vũ, T. H., Kiều, X. V., Nguyễn, H. H. T., & Đồng, N. M. (2023). SOME RELATED FACTORS ON THE RESULTS OF DECOMPRESSIVE CRANIOTOMY PROCEDURE FOR PATIENTS WITH SEVERE TRAUMATIC BRAIN INJURY THE CENTRE OF NEUROSURGERY VIETDUC UNIVERSITY HOSPITAL. Vietnam Medical Journal, 530(1B). https://doi.org/10.51298/vmj.v530i1B.6689

SOME RELATED FACTORS ON THE RESULTS OF DECOMPRESSIVE CRANIOTOMY PROCEDURE FOR PATIENTS WITH SEVERE TRAUMATIC BRAIN INJURY THE CENTRE OF NEUROSURGERY VIETDUC UNIVERSITY HOSPITAL

Trí Hiếu Vũ1, Xuân Việt Kiều1, Hải Hà Trang Nguyễn2, Ngọc Minh Đồng2,
1 Hai Duong Provincial General Hospital
2 GERMANY FRIENDSHIP HOSPITAL

Main Article Content

Abstract

We conducted a study with the aim of analyzing some related factors that impact the results of the treatment of severe traumatic brain injury by decompressive craniotomy. This is a study using a cross-sectional descriptive method performed on 45 patients with severe traumatic brain injury at the Centre of Neurosurgery of VietDuc University Hospital. Results: There was a relationship between pupillary reflex, degree of midline compression, and intracranial pressure in the treatment results. If the pupil on one side was dilated or lost reflexes, the procedure result was 9,38 times worse than that of two undilated, reflex pupils (95% CI: 1,64 – 53,62). If the midline compression was more than 5mm, the procedure results were 4,94 times worse than those of patients with a midline compression of 5mm or less (95% CI: 1.04 - 25.88). if the bottom tank is removed, the treatment results are 7,778 times worse than the normal bottom tank, statistically significant with 95%CI: 1.17 - 51.92. Other factors like arachnoid hemorrhage and intracranial pressure were not found to be related to the treatment outcome after 3 months (p > 0.05).

Article Details

Keywords

: traumatic brain injury; decompressive craniotomy.

References

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