1 What is open TBT
An open craniocerebral injury is caused by the contact of the cranium and its components with the environment. Open TBT, as well as closed, differs according to the level of severity. This aspect will be determined in accordance with such manifestations: fainting and memory impairment for a long time, the presence of violations in relation to the neurological condition and depression of consciousness.
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It is often argued that the very OCMT itself does not represent a particular tragedy, but this can not be said about the consequences. When the CCT was obtained, very unpleasant consequences may appear.
In the case of too large injuries, focal disturbances of brain integrity can often be formed. Because of this, the cortical brain areas can be affected, which will lead to the onset of hemorrhage and the appearance of bruising, creating an obstacle to normal nutritional conditions due to damage.
When diagnosed, an open craniocerebral injury is often diagnosed with crushing. This damages or breaks the end of the nerves, called axons, responsible for the transmission of the corresponding impulses. The latter cease or are not fully transferred in view of the seriousness of the injury. In patients who suffer from such manifestations, respiratory function, blood circulation is violated, a coma may occur, which lasts quite a long period, from 14 days to several months. In this case, the patient does not survive in 80% of the complications of open TBI.
In addition, if an open craniocerebral injury was obtained, the consequences may be in ischemic stroke, which occurs in different brain departments. Predominantly, this consequence appears due to the lack of medical care in the shortest possible time, that is, the hematoma is removed later. This can lead to an increase in blood pressure. Complications of such injuries are directly related to the severity of injury, the age of the patient and the time of first aid.
Therapy and its effectiveness often depend on the timeliness of the measures taken.
When first aid is provided, an important point is to restore respiratory function and stop bleeding. In addition, in the process of hospitalization, the patient needs to ensure full breathing. The patient is hospitalized in the neurosurgical department, this must be done within an hour after receiving the injury.
When the patient was taken to the hospital, a diagnosis was made and the diagnosis was clarified, the treatment is that it is required to restore the integrity of the skull by surgical intervention, to remove thrombotic formations, to take medicine. Medicines are required to bring the intracranial pressure back to normal and monitor, as well as improve access to blood, micro- and macronutrients to the brain. The rehabilitation period will consist in prescribing medications with anticonvulsant, nootropic and vascular effects, taking a vitamin course, taking therapeutic physical exercises and performing physiotherapeutic procedures.
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2 What are the predictions of
The prognosis after an open craniocerebral injury will depend on the severity of the brain integrity disorder and its characteristics. A mild degree of lesion is characterized by a favorable prognosis, and sometimes even it may not be necessary to help physicians to fully recover. However, the more severe the trauma, the less the possibility of a favorable outcome.
In case of a favorable outcome, the patient will be discharged from the hospital. However, for a long period it is necessary to pass the health control of specialists: neurologist, therapist, psychologist, etc.