Volume 4, Issue 2, June 2020, Page: 24-28
Application of Damage Control Neurosurgery and Corresponding Nursing Strategy in Patients with Bilateral Frontal Lobe Contusion and Laceration
Huixuan Chen, Department of Neurosurgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Yanhong Xie, Department of Neurosurgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Weiju Chen, School of Nursing, Jinan University, Guangzhou, China
Cuiqing Liu, Department of Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Jiaming Wu, Department of Neurosurgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Keen Chen, Department of Neurosurgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Received: Mar. 2, 2020;       Accepted: Apr. 1, 2020;       Published: Apr. 23, 2020
DOI: 10.11648/j.cnn.20200402.11      View  273      Downloads  97
Abstract
Objective: To investigate the key points and effect of damage control neurosurgery (DCNS) and nursing strategy of patients with neurosurgery in bilateral frontal contusion. Methods: According to the principle of damage control nursing strategy of neurosurgery, 33 cases of bilateral frontal contusion from September 2017 to January 2019 were treated by adjusting the internal environment disorder after trauma, increasing plasma osmotic pressure and maintaining blood oxygen saturation, craniotomy and decompression operations when patients grew worse. Patients were followed up for 6 months with the corresponding nursing practice given to the patients out of hospital. Results: Among the 33 cases, 25 of them received successful conservative treatment, 8 were converted to surgery. The operation rate was 24.2%. Six months after treatment, there were 27 cases with GOS ≥ 4, including 22 cases GOS ≥ 4 in the conservative treatment group and 5 cases GOS ≥ 4 in the surgery transfer group. Conclusion: The application of DCNS in the treatment of bilateral frontal contusion and take appropriate nursing strategy intervention can reduce the operation rate, prevent complications and promote patient’s recovery.
Keywords
Damage Control Surgery, Craniocerebral Trauma, Bilateral Frontal Contusion, Conservative Treatment, Internal Environment Homeostasis, Craniotomy, Nursing Strategy
To cite this article
Huixuan Chen, Yanhong Xie, Weiju Chen, Cuiqing Liu, Jiaming Wu, Keen Chen, Application of Damage Control Neurosurgery and Corresponding Nursing Strategy in Patients with Bilateral Frontal Lobe Contusion and Laceration, Clinical Neurology and Neuroscience. Vol. 4, No. 2, 2020, pp. 24-28. doi: 10.11648/j.cnn.20200402.11
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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