Bayona SDR, Villalonga CL, Jiménez RIL

Language: Spanish
References: 11
Page: 855-860
PDF size: 32.74 Kb.

ABSTRACT

Cranioencephalic traumas are the fourth cause of death in our country, and the first one among the population aged less than 41 years, who are two thirds of the deaths taking place in a general hospital. Its global incidence rate is around 200 x 100 000 inhabitants. We present this case taking into consideration the incidence of this trauma in our environment and the high mortality it reaches. It is the case of a male patient aged 43 years who, according to data given by the acting penal instruction, was sent to the Provincial Teaching Clinicosurgical Hospital José Ramón López Tabrane, of Matanzas, on May 16, after falling in his way home and hitting his head against a column located outside of his house. He was unconsciously picked up by the Integrated Service of Medical Emergencies, and brought to our hospital, where he arrived in a deep coma, without reflexes, with 3 points in the Glasgow scale and mechanical ventilation. Entering the hospital he showed a great increase of the epicranial volume extended alongside the sagittal suture, without any other violence sign in the external part of the body. A computerized axial tomography of the simple cranium was carried out, showing multiple lineal fractures of the cranium (bilateral parietal and frontal), diastasis of coronal, sagittal and lambdoidal sutures, subarachnoid space flood, base cisterns flooded of blood, without mass effect or expansive lesion. He was remitted to the Intensive Care Unit, dying on May 22nd after a cardio pulmonary arrest.

REFERENCES

1. Diccionario Terminológico de Ciencias Médicas. La Habana: Editorial Científico- Técnica, 1998.

2. Calabuig G. Tratado de Medicina Legal y Toxicología. 6ta. ed. Barcelona: Editorial Masson; 2004.

3. Dirección Nacional de Registros Médicos y Estadística de Salud del Ministerio de Salud Pública de Cuba. Anuario Estadístico de Salud. La Habana: MINSAP; 2006 [citado 14 May 2008]. Disponible en: http://www.sld.cu/galerias/pdf/sitios/dne/accidentes.pdf

4. Salas RHJ. Traumatismo craneoencefálico, epidemiología, prevención, servicio médico de urgencia. En: Salas RHJ. Traumatismo craneoencefálico. Temas. La Habana: Editorial Científico-Técnica; 2010.

5. Valdés LF, Castro PB, Callejo HM, Martínez GM, Goinechea GF, Jordan RJ, et al. Manual para la prevención de accidentes y manejo del lesionado. La Habana: UNICEF / MINSAP; 2013.

6. Pérez GR, Martínez VM.Epidemiología y lesiones traumáticas. En: Caballero LA. Terapia Intensiva. T IV[Internet]. 2da ed. La Habana: Editorial Ciencias Médicas; 2009[citado 14 May 2008]. Disponible en: http://www.bvs.sld.cu/libros_texto/terapia_intensiva04/cap111.pdf

7. DuBose JJ, Browder T, Inaba K, Teixeira PG, Chan LS, Demetriades D. Effect of trauma center designation on outcome in patients with severe traumatic brain injury. Arch Surg. 2008 Dec;143(12):1213-7. Citado en PubMed; PMID: 19075174.

8. McCarthy MC. Actualización sobre cuidados críticos y de traumatismos. El hospital. 2010;56(4):300-483.

9. Maas AI, Stocchetti N, Bullock R. Moderate and severe traumatic brain injury in adults. Lancet Neurol. 2009 Aug;7(8):728-41. Citado en PubMed; PMID: 18635021.

10. Pérez Assef A, Oliva Pérez M, Calixto Augier D, Díaz Mayo J. Mortalidad hospitalaria de pacientes ingresados en una UCI.Revista Cubana de Medicina Intensiva y Emergencias.2003 [citado 14 May 2009];2(1). Disponible en: http://bvs.sld.cu/revistas/mie/vol2_1_03/mie02103.htm

11. Domínguez Perera MA, Camacho Tenorio S. Evaluación inicial del politraumatizado en cuidados intensivos. En: Caballero LA. Terapia Intensiva.T IV [Internet].2da. ed. La Habana: Editorial Ciencias Médicas; 2010[citado 14 May 2009]. Disponible en: http://www.bvs.sld.cu/libros_texto/terapia_intensiva04/indice_p.htm