Application of Damage Control Neurosurgery and Corresponding Nursing Strategy in Patients with Bilateral Frontal Lobe Contusion and Laceration

Huixuan Chen; Yanhong Xie; Weiju Chen; Cuiqing Liu; Jiaming Wu; Keen Chen

doi:doi:10.11648/j.cnn.20200402.11

| Peer-Reviewed

Application of Damage Control Neurosurgery and Corresponding Nursing Strategy in Patients with Bilateral Frontal Lobe Contusion and Laceration

Huixuan Chen, Yanhong Xie, Weiju Chen, Cuiqing Liu, Jiaming Wu, Keen Chen

Published in Clinical Neurology and Neuroscience (Volume 4, Issue 2)

Received: 2 March 2020 Accepted: 1 April 2020 Published: 23 April 2020

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

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.

Published in	Clinical Neurology and Neuroscience (Volume 4, Issue 2)
DOI	10.11648/j.cnn.20200402.11
Page(s)	24-28
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Damage Control Surgery, Craniocerebral Trauma, Bilateral Frontal Contusion, Conservative Treatment, Internal Environment Homeostasis, Craniotomy, Nursing Strategy

References

[1]	Rotondo M F, Schwab C W, Mcgonigal M D, et al. 'Damage control': an approach for improved survival in exsanguinating penetrating abdominal injury [J]. J Trauma, 1993, 35 (3): 375-382, 382-383.
[2]	Xu Qinyi, Dong Jirong, Wang Yuhai, et al. Damage control surgery for bilateral frontal cerebral contusion and intracerebral hematoma [J]. Chin J Minim Invasive Neurosurg, 2015, 20 (9): 402-404.
[3]	CHANG Tao, LI Li-hong. Surgical Concept of Damage Control and Its Application in Treatment of Traumatic Brain Injury [J]. Medical Recapitulate, 2015, 21 (15): 2758-2760.
[4]	Clinical misdiagnosis & Mistherapy 2014, 27 (07): 35-37.
[5]	Zhou Fang, Yang Xiaoning. Observation on the effect of injury control and nursing cooperation in severe head injury [J]. Journal of Nurses Training, 2015, 30 (04): 334-335.
[6]	Xiao-lan, HUANG Chun-yu, et al. Application of damage controlled snrgery and nursing in abdominal serious [J]. Chin J Mod Nurs. 2012, 18 (3): 293-295.
[7]	Li Chengxiang, Xie Kegong. Rescue and Nursing of Severe Multiple Fractures with Injury Control Technology [J]. Youjiang Medical Science, 2009, 37 (05): 623-624.
[8]	Liu Jianshuang, Zhu Xiaoyu, Zheng Yufang. Application of injury control in nursing of critically ill patients in orthopedics [J]. Journal of Traditional Chinese Medicine Management, 2015, 23 (06): 91-92.
[9]	Feng Hua, Li Fei, Zhu Gang, et al. Application of injury control theory in the treatment of patients with severe head injury [J]. Chinese Journal of Traumatology, 2010, 26 (10): 865-867.
[10]	Gennarelli T A, Champion H R, Copes W S, et al. Comparison of mortality, morbidity, and severity of 59,713 head injured patients with 114,447 patients with extracranial injuries [J]. J Trauma, 1994, 37 (6): 962-968.
[11]	Gennarelli T A, Champion H R, Sacco W J, et al. Mortality of patients with head injury and extracranial injury treated in trauma centers [J]. J Trauma, 1989, 29 (9): 1193-1201, 1201-1202.
[12]	Yuan Jie, Huo Chunfen. Study on prognosis status and the influential factors of severe craniocerebral trauma [J] Chinese Journal of practical Nervous Diseases, 2014, 17 (01): 3-6.

Cite This Article

Plain Text BibTeX RIS

APA Style

Huixuan Chen, Yanhong Xie, Weiju Chen, Cuiqing Liu, Jiaming Wu, et al. (2020). Application of Damage Control Neurosurgery and Corresponding Nursing Strategy in Patients with Bilateral Frontal Lobe Contusion and Laceration. Clinical Neurology and Neuroscience, 4(2), 24-28. https://doi.org/10.11648/j.cnn.20200402.11

Copy | Download

ACS Style

Huixuan Chen; Yanhong Xie; Weiju Chen; Cuiqing Liu; Jiaming Wu, et al. Application of Damage Control Neurosurgery and Corresponding Nursing Strategy in Patients with Bilateral Frontal Lobe Contusion and Laceration. Clin. Neurol. Neurosci. 2020, 4(2), 24-28. doi: 10.11648/j.cnn.20200402.11

Copy | Download

AMA Style

Huixuan Chen, Yanhong Xie, Weiju Chen, Cuiqing Liu, Jiaming Wu, et al. Application of Damage Control Neurosurgery and Corresponding Nursing Strategy in Patients with Bilateral Frontal Lobe Contusion and Laceration. Clin Neurol Neurosci. 2020;4(2):24-28. doi: 10.11648/j.cnn.20200402.11

Copy | Download

@article{10.11648/j.cnn.20200402.11,
  author = {Huixuan Chen and Yanhong Xie and Weiju Chen and Cuiqing Liu and Jiaming Wu and Keen Chen},
  title = {Application of Damage Control Neurosurgery and Corresponding Nursing Strategy in Patients with Bilateral Frontal Lobe Contusion and Laceration},
  journal = {Clinical Neurology and Neuroscience},
  volume = {4},
  number = {2},
  pages = {24-28},
  doi = {10.11648/j.cnn.20200402.11},
  url = {https://doi.org/10.11648/j.cnn.20200402.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20200402.11},
  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.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Application of Damage Control Neurosurgery and Corresponding Nursing Strategy in Patients with Bilateral Frontal Lobe Contusion and Laceration
AU  - Huixuan Chen
AU  - Yanhong Xie
AU  - Weiju Chen
AU  - Cuiqing Liu
AU  - Jiaming Wu
AU  - Keen Chen
Y1  - 2020/04/23
PY  - 2020
N1  - https://doi.org/10.11648/j.cnn.20200402.11
DO  - 10.11648/j.cnn.20200402.11
T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
SP  - 24
EP  - 28
PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20200402.11
AB  - 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.
VL  - 4
IS  - 2
ER  -

Copy | Download

Author Information

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

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Huixuan Chen, Yanhong Xie, Weiju Chen, Cuiqing Liu, Jiaming Wu, et al. (2020). Application of Damage Control Neurosurgery and Corresponding Nursing Strategy in Patients with Bilateral Frontal Lobe Contusion and Laceration. Clinical Neurology and Neuroscience, 4(2), 24-28. https://doi.org/10.11648/j.cnn.20200402.11

Copy | Download

ACS Style

Huixuan Chen; Yanhong Xie; Weiju Chen; Cuiqing Liu; Jiaming Wu, et al. Application of Damage Control Neurosurgery and Corresponding Nursing Strategy in Patients with Bilateral Frontal Lobe Contusion and Laceration. Clin. Neurol. Neurosci. 2020, 4(2), 24-28. doi: 10.11648/j.cnn.20200402.11

Copy | Download

AMA Style

Huixuan Chen, Yanhong Xie, Weiju Chen, Cuiqing Liu, Jiaming Wu, et al. Application of Damage Control Neurosurgery and Corresponding Nursing Strategy in Patients with Bilateral Frontal Lobe Contusion and Laceration. Clin Neurol Neurosci. 2020;4(2):24-28. doi: 10.11648/j.cnn.20200402.11

Copy | Download

@article{10.11648/j.cnn.20200402.11,
  author = {Huixuan Chen and Yanhong Xie and Weiju Chen and Cuiqing Liu and Jiaming Wu and Keen Chen},
  title = {Application of Damage Control Neurosurgery and Corresponding Nursing Strategy in Patients with Bilateral Frontal Lobe Contusion and Laceration},
  journal = {Clinical Neurology and Neuroscience},
  volume = {4},
  number = {2},
  pages = {24-28},
  doi = {10.11648/j.cnn.20200402.11},
  url = {https://doi.org/10.11648/j.cnn.20200402.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20200402.11},
  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.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Application of Damage Control Neurosurgery and Corresponding Nursing Strategy in Patients with Bilateral Frontal Lobe Contusion and Laceration
AU  - Huixuan Chen
AU  - Yanhong Xie
AU  - Weiju Chen
AU  - Cuiqing Liu
AU  - Jiaming Wu
AU  - Keen Chen
Y1  - 2020/04/23
PY  - 2020
N1  - https://doi.org/10.11648/j.cnn.20200402.11
DO  - 10.11648/j.cnn.20200402.11
T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
SP  - 24
EP  - 28
PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20200402.11
AB  - 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.
VL  - 4
IS  - 2
ER  -

Copy | Download