According to statistics, combined craniocerebral injury in the category of internal injuries ranks first not only in its frequency, but also in severity. Very often the result of such injuries is a fatal outcome or disability.
When combined craniocerebral injury, it is very important to objectively assess the severity of the injuries and predict the development of traumatic illness. Only in this way can you avoid the patient's undesirable consequences.
There are a number of reasons why people get combined craniocerebral lesions. The following data was extracted by specialists:
- Traffic accidents - 58,7%;
- Drop from height - 37%;
- Falling on the street - 3%;
- Head strikes - 1.3%.
At the same time, at the time of injury, about 33% of people are in a state of intoxication. Fractures occur in 56.5% of patients.
Signs and symptoms
The combined craniocerebral trauma is diagnosed on the basis of external signs, when deformation of the articulation is observed, palpation of the inhibition and depression of the debris is carried out. Also, symptoms of such damage include hemorrhage in the area of the eyelids, traces of blood or apparent bleeding from the mouth, from the ear and nose waste.
The general picture of a patient with an internal craniocerebral trauma is most often obscured by signs of other concomitant and more severe injuries, which include fractures of the pelvis, limbs or ribs. It can also be said with certainty that in the case of automobile accidents or when falling from a height, a combined craniocerebral trauma is a natural result of an event, often expressed in shock.
Degree of concussion of the brain
In the clinical picture, there are three degrees of concussion: a slight degree, a degree of moderate severity, a severe degree. In the first case there is a brief loss of consciousness and there is a fracture of the arch of the skull. In the case of moderate severity of a concussion, seizures may occur if the consciousness is lost or the person falls into a soporous state for a long time. The severe degree of combined craniocerebral trauma is characterized by breathing disorder and swallowing, the presence of a coma within several weeks.
Patient with concussion of the brain needs to provide mental and physical peace. It is necessary to put it with the raised head and unfree the gate. It is also important to moisten the place of injury by putting ice or a wet towel. Transport to a surgical, neurological or traumatological department can and should be carried out exclusively on stretchers.
In some cases it is extremely difficult to make predictions for the traumatic illness. But this is a prerequisite, especially in the acute period - the first two days after the injury. It is precisely at that time that a combined craniocerebral trauma requires not just close observation, but also an emergency treatment.