Khirurgiia
-
The authors studied the incidence of hydrocephalus and intracranial hypertension in 60 patients with severe craniocerebral trauma from comparison of the findings of computed tomography and the results of prolonged monitoring of intracranial pressure. The mechanisms of the development of hydrocephalus and intracranial hypertension are described. Hydrocephalus is among the causes of intracranial hypertension. In view of this, external fractional drainage of the ventricular CSF should be applied together with the removal of intracranial hematomas and measures of intensive therapy in patients with severe craniocerebral trauma.
-
Two-stage ruptures of the spleen are a difficult diagnostic problem of closed abdominal trauma. Diagnostic errors occur in 85% of cases. ⋯ The possible causes of the anomaly are discussed. Six personal cases are analysed, and the diagnostic recommendations in the examination of patients with suspected two-stage rupture of the spleen are generalized.