Semenov Aleksandr Valerevich (RU),Семенов Александр Валерьевич (RU),Krylov Vladimir Viktorovich (RU),Крылов Владимир Викторович (RU),Sorokovikov Vladimir Alekseevich (RU),Сороковиков Владимир Алексеев
申请号：
RU2019108643
公开号：
RU0002702525C1
申请日:
2019.03.25
申请国别(地区):
RU
年份:
2019
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to neurosurgery. Method for determining indications for surgical management of acute traumatic intracranial hematomas (ATIH) involves determining a patient's condition upon admission, conducting multislide computed tomography based on the results of which a type, localization, amount and volume of hematoma(s), displacement of median structures, deformation of basal cerebral liquor tanks, reduced level of consciousness by 2 points on Glasgow coma scale (GCS), wherein if haematomas(s) are detected, the index of traumatic acute intracranial hematoma is determined by formula: TOTAL = V×k+F, where TOTAL is index of traumatic acute intracranial hematoma, V is volume of hematoma in milliliters, k is coefficient of traumatic acute intracranial hematoma area: zone α – 0.2； zone β – 0.1； wherein to zone α basal parts of right middle cranial cavity, basal parts of left middle cranial cavity, entire posterior cranial pit； to zone β – a region of the right cerebral hemisphere except the basal portions of the middle cranial cavity, as well as a region of the left cerebral hemisphere except the basal portions of the middle cranial cavity； F is total score of risk factors: 1 – presence of foci of injury and/or subarachnoid hemorrhage, and/or sopor, coma at admission – 1 point； 2 – reduced level of consciousness by scale GCS 2 points after admission – 2 points； 3 – displacement of middle structures more than 5 mm – 3 points； 4 – deformation of basilar cerebral cerebral systems and/or IV ventricle – 4 points； 5 – increasing occlusive hydrocephaly – 5 points and with an index of TOTAL more than 4 points – absolute indications for surgical treatment； with index of 3-4 points – relative indications, and if the index is less than 3 points – there are no indications for surgical treatment.EFFECT: invention provides more accurate determination and objectification of indications for surgical treatment of single and multiple acu
