tailieunhanh - Nghiên cứu thang điểm dự báo độ nặng ở bệnh nhân chấn thương sọ não

Nghiên cứu nhằm khảo sát nồng độ ADH huyết thanh và một số yếu tố nặng ở bệnh nhân chấn thương sọ não. Đồng thời đánh giá mối liên quan giữa sự biến đổi nồng độ ADH huyết thanh và một số yếu tố nặng từ đó xác định giá trị dự báo tiên lượng ở bệnh nhân chấn thương sọ não. | Vietnam Journal of Community Medicine Vol. 64 Special Issue 11 143-150 RESEARCH THE SCALE FOR PREDICTION SEVERE IN TRAUMATIC BRAIN INJURY PATIENTS Ngo Dung Le Ngoc Binh Le Viet Hoa Le Bao Hoang Tran Thi My Duyen Hue Central Hospital - 16 Le Loi Vinh Ninh Hue City Thua Thien Hue Vietnam Received 14 09 2023 Revised 10 10 2023 Accepted 02 11 2023 ABSTRACT Objective The study aimed to investigate serum ADH levels and some severe factors in patients with traumatic brain injury. At the same time evaluate the relationship between changes in serum ADH levels and some severe factors thereby determining the predictive value of prognosis in patients with traumatic brain injury. Subjects and methods A descriptive cross-sectional study with longitudinal follow-up and comparison of the control group. Over 105 patients were hospitalized in the first 72 hours after traumatic brain injury treated at the Anesthesiology Department of Hue Central Hospital and 116 healthy reference people. Results ADH concentration upon admission in the group of patients with traumatic brain injury with severe factors such as complex brain damage was pg ml Glasgow score 8 was pg ml Marshall score 3 is ml midline shift gt 5mm is ml with mechanical ventilation is ml increased. Quantifying serum ADH levels combined with the Glasgow scale Marshall score and basic blood tests are meaningful in predicting death severe progression and number of days in resuscitation treatment. Conclusion The study has shown an overview of the changes and role of serum ADH in traumatic brain injury. Keywords Traumatic brain injury serum ADH Glasgow scale Marshall scale. Corressponding author Email address Ngodung04101973@ Phone number 84 913426421 https 143 N. Dung et al. Vietnam Journal of Community Medicine Vol. 64 Special Issue 11 143-150 NGHIÊN CỨU THANG ĐIỂM DỰ BÁO ĐỘ NẶNG Ở BỆNH NHÂN CHẤN THƯƠNG SỌ NÃO Ngô Dũng Lê Ngọc