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HELICOPTER AVIATION-ASSISTED METHOD FOR URGENT SPECIALIZED MEDICAL AID FOR PATIENTS WITH SEVERE CRANIOCEREBRAL INJURY WITHIN FIRST HOURS

机译:头几小时内严重颅脑损伤患者急诊的医疗航空辅助方法

摘要

A helicopter aviation-assisted method for the urgent specialized medical aid for the patients with the severe craniocerebral injury within the first hours comprises neurological and echoencephaloscopic examination. When the signs of the increased cerebral edema are evident, L-lysine escinate 25.0 is administered intravenously thrice a day and Lasix1 mL is administered intravenously twice a day. The helicopter aviation is used for providing most efficient medial aid. Based on the specialized medical centers, the computed tomography or magnetic resonance tomography of the brain is performed. Then in the surgery room, the compressed brain areas are decompressed, the traumatic intracranial hematomas and the bone fragments are removed. The intensive care therapy follows. Following the stabilization of the general state in 2-4 weeks, the reconstructive surgery is provided to close the cranial defects. For this purpose, the bone fragments removed in the course of the first surgery that were frozen, or titanium plates, or protacryl plates of hydroxyl apatite ceramic, or more complex composites are used.
机译:在头几个小时内为严重颅脑损伤患者提供紧急专业医疗援助的直升机航空辅助方法包括神经系统检查和脑波镜检查。当明显的脑水肿迹象出现时,每天三次静脉注射L-赖氨酸七叶皂甙25.0,每天两次静脉注射Lasix1 mL。直升机航空用于提供最有效的中转援助。基于专门的医疗中心,对大脑进行计算机断层扫描或磁共振断层扫描。然后在手术室中,将受压的脑部区域减压,去除颅内血肿和骨头碎片。重症监护疗法如下。在2-4周的总体状态稳定之后,提供了重建手术来闭合颅骨缺损。为此目的,使用在第一次手术过程中被冷冻的骨头碎片,或者使用钛板或羟基磷灰石陶瓷的聚丙烯酸酯板,或更复杂的复合材料。

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