THE CLINIC, DIAGNOSIS AND OUTCOMES OF SEVERE CRANIAL-BRAIN INJURIES AMONG CHILDREN OFF DIFFERENT AGE GROUPS
Authors: U. Ye. Asilbekov
Number of views: 338
Author analysed treatment of 312 children with a severe craniocerebral trauma during 2006 - 2011 years in Municipal
Children hospital №2, Astana. According to age, patients have been distributed in groups: newborns (about one
month), children about one year, preschool age (3-7 years) and school (from 7 till 14 years).
In 256 cases there was a closed brain injury, in 32 - opened not penetrating in 24 open penetrating.
The brain bruise is diagnosed in 118 cases, a serious bruise of a brain – for 84 patients, a bruise of a brain with a prelum
in 98 cases and 12 cases an is diffusive-axonal trauma of a brain.
At 205 children of various age groups we have established fractures of skull base and a calvarium. Children with a posttraumatic
subarachnoid hemorrhage make 84,6 %. From 312 patients at 15 (4,8 %) there has come a lethal outcome.
Each age group has features which need distinctive approaches in diagnostics and treatment. The most informative methods
in diagnostics of a severe brain trauma in children - are neurosonography, CT and MRI.
Key words: a craniocereberal trauma, age features, children, outcomes, diagnostics