Early Treatment Of Severecerebral Contusion Patients With Hyperbaric Oxygen

Objective: To study the effectiveness of hyperbaric oxygen(HBO)treatment on severe brain contusion patients after traumatic head injury.Methods: For 50 cases of severe brain contusion patients with GCS of 3~8, all bone flaps were removed or hematoma evacuation done at the same time within one hour at admission. HBO treatment was given with in 5~20 hours to 18 cases, while the other 32cases were given HBO treatment after subsidence of brainedema(7~18days).Results: Obviously differences were seen between the two groups in GCS after 3 weeks and GOS after 6months.Conclusions: Traumatic brain contusion and hematoma is the most difficult disease to manage in neurosurgical department, because it is often companied by malicious hypoxia and increased ICP, with poor prognosis;earlier HBO treatment canenhance the oxygen saturation in blood to block the malicious cycle of brain hypoxia, and to increase the clinical cure rate.