Identifying traumatic brain injury in patients with isolated head trauma: are arterial lactate and base deficit as helpful as in polytrauma?

Autor: Zehtabchi, Shahriar, Sinert, Richard, Soghoian, Samara, Yiju Liu, Carmody, Kristin, Shah, Lekha, Kumar, Mridul, Lucchesi, Michael
Zdroj: Emergency Medicine Journal (EMJ); May2007, Vol. 24 Issue 5, p333-335, 3p, 1 Chart, 1 Graph
Abstrakt: The article discusses a study which investigated the utility of arterial base deficit (BD) and increase in lactate (LAC) in diagnosing traumatic brain injury (TBI) in patients with isolated head injury. Findings revealed that 17 percent of patients sustained penetrating TBI, including stab and gunshot wounds, while 83 percent sustained blunt trauma. Results of computed tomography (CT) scan of patients' head showed cerebral contusions, skull and facial bone fractures, subdural and intraparenchymal hemorrhages, and cervical spine fractures/disclocations.
Databáze: Complementary Index