DIFFERENTIATED APPROACH TO THE TREATMENT OF INTRACRANIAL TRAUMATIC HEMORRHAGES

The data of 198 patients with isolated traumatic brain injury were studied and analyzed. For the study, patients with acute and subacute isolated traumatic intracranial hematomas (epidural, subdural, intracerebral) or their various combinations were selected by the continuous sampling method. There were 130 (65.7%) men and 68 (34.31%) women in the study. The average age of the patients was 48.2±4.3 years, ranging from 15 years to 81 years. Results. Traumatic intracranial hemorrhages in many cases occurred in transport (74 cases - 37.4%) and domestic (69 cases - 34.8%) injuries. 110 patients (55.6%) were delivered by ambulance. In 34 (17.1%) patients, the injury was received in a state of alcoholic intoxication. It was most often a domestic injury. It is proved that the optimal timing and methods of surgical interventions and conservative treatment are based on the location of traumatic intracranial hemorrhages, the volume and level of compensation of neurological functions of the patient. Conclusion. It was revealed that the negative factors affecting the results of surgical and conservative methods of treatment of traumatic intracranial hemorrhages are the rough phase of decompensation in the acute period, intracerebral location and location in the dominant hemisphere.