• Chin. J. Traumatol. · Jun 2002

    The influence of traumatic subarachnoid hemorrhage on prognosis of head injury.

    • Guangxin Chen, Yongwen Zou, and Donghong Yang.
    • Department of Neurosurgery, Daping Hospital, the Third Military Medical University. Chongqing 400042, China.
    • Chin. J. Traumatol. 2002 Jun 1;5(3):169-71.

    ObjectiveTo study the influence of traumatic subarachnoid hemorrhage on secondary intracranial damage in GCS 13-15 head injuries and prognosis.MethodsOne hundred and twenty-eight patients with mild head injury, including 64 with subarachnoid hemorrhage and 64 without subarachnoid hemorrhage, were selected and analyzed according to the changes of their conditions after injury.ResultsIntracranial abnormality was found in 14 patients (21.87%) with subarachnoid hemorrhage and only in 4 patients (6.25%) without subarachnoid hemorrhage (P<0.01). In the 14 patients, 4 were given surgical treatment. Mild disability was in 2 patients and 2 completely recovered. The rest were conservatively treated and achieved complete recovery at last.ConclusionsTraumatic subarachnoid hemorrhage, as a factor of intracranial complications in mild head injury should be given much attention. Early drainage of bloody cerebrospinal fluid by lumbar puncture is an effective method for prevention and treatment of complications in mild head injury.

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