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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1982-3-22
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pubmed:abstractText |
After severe head injury the majority of deaths, during the early period, is due to acute intracranial hypertension. We report a series of 57 severe head injuries with early signs of brainstem involvement. CT Scan performed within 6 hours after injury and repeated at 48 hours showed hemispheric lesions and edema, without shift of the middle line. Treatment consisted of controlled ventilation, water and sodium restriction and barbiturates. A ventricular catheter was inserted in 52 patients allowing intracranial pressure (I.C.P.) monitoring, and permanent subtraction of cerebrospinal fluid (C.S.F.). This treatment allowed the control of a normal I.C.P. in 80% of the patients. In 6 patients a secondary surgical treatment was performed. In this series the mortality rate was 31,5% the good results and moderate disability 54,3%, the severe disability and vegetatives states 14,2%.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0028-3770
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
27
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
205-12
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:6798481-Adolescent,
pubmed-meshheading:6798481-Adult,
pubmed-meshheading:6798481-Barbiturates,
pubmed-meshheading:6798481-Brain Injuries,
pubmed-meshheading:6798481-Cerebrospinal Fluid Shunts,
pubmed-meshheading:6798481-Clonazepam,
pubmed-meshheading:6798481-Dexamethasone,
pubmed-meshheading:6798481-Female,
pubmed-meshheading:6798481-Humans,
pubmed-meshheading:6798481-Intracranial Pressure,
pubmed-meshheading:6798481-Male,
pubmed-meshheading:6798481-Mannitol,
pubmed-meshheading:6798481-Middle Aged,
pubmed-meshheading:6798481-Respiration, Artificial,
pubmed-meshheading:6798481-Tomography, X-Ray Computed
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pubmed:year |
1981
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pubmed:articleTitle |
[Treatment of severe head injuries by external ventricular drainage and barbiturate therapy. Mortality and morbidity in 57 cases (author's transl)].
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pubmed:publicationType |
Journal Article,
English Abstract
|