TREATMENT OF BRAIN CONTUSIONS USING A DIFFERENTIATED CONCEPT

Abstract

The authors conducted an epidemiological study of 2,750 patients who were treated in Bishkek hospitals for the period 2017-2022. The distribution of focal brain injuries by lobular localization was as follows: frontal lobe – 47.1%, temporal lobe – 40.6%; parietal lobe – 12.6%; occipital lobe and cerebellum – 2.1%. Of these, 72 patients underwent surgical treatment, and 44 patients were treated conservatively, including intensive therapy. They studied the clinical and
computed tomographic transformation of focal lesions – bruises, fractures and hematomas of the brain substance, which can be represented as follows: an increase in perifocal and lobar edema – 2-6 days; expansion of the foci of bruising and softening to 7-9 days; regression of intracranial hypertension – 3-4 weeks; regression of meningeal symptoms and rehabilitation of cerebrospinal fluid – 2-3 weeks; complete or significant normalization of neurological and mental status – 5-7 weeks; the transition from the hyperdensive phase of a hematoma or hemorrhagic lesion to an isodensive one – 3-4 weeks; their transition from an isodensive phase to a hypodensive one – 4-5 weeks; resorption of a hematoma followed by a change to the cystic cavity – 2-3 months. A new differentiated approach is proposed in choosing the method and type of treatment for brain injuries.