What is the prognosis of firearm craniocerebral injury?

summary

Open brain injury can be divided into firearm injury and non firearm injury. At ordinary times, the latter is more common, such as knife, axe cut injury, etc; Wartime craniocerebral injury is caused by various firearms. The two principles are basically the same. But firearm brain injury is more complicated and serious. What is the prognosis of firearm craniocerebral injury? Let's talk about it

What is the prognosis of firearm craniocerebral injury?

According to the time limit of debridement, the patients were divided into early stage, delayed stage and late stage. ① Early treatment (within 3 days after injury), the wound has no obvious infection, generally according to the principle of thorough debridement. ② Delayed treatment (4-6 days after injury) is still suitable for thorough debridement if there is no obvious infection in the wound. If there is obvious infection, the wound should be cleaned and drained. The second stage operation was performed after the infection was limited. ③ In the late stage of treatment (more than 7 days), most of the wounds had obvious infection or suppuration. It is appropriate to expand the bone window, clear the broken bone pieces, drain the wound tract, and then carry out the second stage treatment.

Principles and methods of debridement: the irregular and rotten parts of scalp soft tissue were removed, the original wound was expanded in "s" shape, the scalp and dirt in the lower layer of scalp were removed, electrocoagulation was used to stop bleeding, the cap aponeurosis and scalp were sutured intermittently, and the drainage was placed subcutaneously for 1-2 days.

During skull treatment, the central part of the fracture and its surrounding area should be exposed, and the free and depressed bone fragments should be removed one by one to remove dirt, foreign bodies and blood clots, so as to make it into a neat round or oval bone window. If there is epidural hematoma, we need to expand the bone window to remove the hematoma. At the same time, we should check whether the dura mater is damaged, whether there is internal hematoma, and decide whether to open the dura mater for exploration.

matters needing attention

Eat a balanced diet, eat more fruits and vegetables and other high fiber food, eat more eggs, soybeans and other high protein food, pay attention to light diet, can carry out moderate exercise, avoid tobacco and alcohol, quit spicy, coffee and other stimulating food.