title: Peri-operative treatment of most severely head-injured patients.
abstract: OBJECTIVE
  To summarize the peri-operative experience from 53 patients with traumatic head injuries with GCS score 3-5.
  
  
  METHODS
  Fifty-three most severely head-injured patients with GCS score 3-5 were admitted to our department and treated operatively from Oct. 1994 to Jun. 1998 and the data were analyzed retrospectively.
  
  
  RESULTS
  Thirty-seven cases (69.8%) survived, among them 28 (52.8%) had a good recovery or moderate disability, and 9 (17%) had severe deficits. The other 16 (30.2%) died after therapy.
  
  
  CONCLUSIONS
  The prognosis of most severely head-injured patients could be improved by peri-operative treatment including premedical care, early evacuation of intracranial hematoma with large decompressive craniectomies, intracranial hypertension monitoring, moderate hypothermia therapy, effective prevention and treatment of cerebral vasospasm and complications.
authors.affiliation: Department of Neurosurgery, Huashan Hospital, Shanghai Medical University, Shanghai, 200040, China.
authors.forename: W
authors.initials: W
authors.lastname: Xu
authors.forename: S
authors.initials: S
authors.lastname: Gu
authors.forename: L
authors.initials: L
authors.lastname: Pang
authors.forename: Y
authors.initials: Y
authors.lastname: Ji
authors.forename: L
authors.initials: L
authors.lastname: Zhou
authors.forename: L
authors.initials: L
authors.lastname: Gao
authors.forename: X
authors.initials: X
authors.lastname: Cao
authors.forename: D
authors.initials: D
authors.lastname: Hu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D006259:Craniocerebral Trauma / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care