Atls tce
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Dr. VytasZaniauskas
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• 500.000 casos de TCE en USA• 80% leves• 10% moderados• 10% graves
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- Oxígeno suficiente- Presión sanguinea adecuada- ABCDE- Identificar las lesiones - TAC
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Proporcionar al neurocirujano de información:
• Edad, mecanismo y hora de lesión• Estado respiratorio y cardiovascular• Examen neurológico (glasgow)• Presencia y tipo de lesiones asociadas• TAC de cráneo y otros estudios• Tratamiento de hipotensión e hipoxia
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Clasificación del TCE
- Mecanismo del trauma* Abierto* Cerrado
- Gravedad del daño* Leve (14-15)* Moderado (9-13)* Grave (<9)
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Clasificación del TCE
- Morfología:a) Fractura de Cráneo* De bóveda* De base
b) Lesión Intracraneal* Focales* Difusas* Hematoma epidural* Hematoma subdural* Contusiones y hematomas intracraneales
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Muerte Cerebral:
- Glasgow 3- Pupilas no reactivas- Reflejos mesencefálicos ausentes (oculocefalico, corneal, ojos de muñeca, reflejo nauseoso)- Sin esfuerzo ventilatorio espontáneo
Paraclínicos:
- Electroencefalograma: sin actividad- PIC: excede de la PAM por una hora o más- Electrocardiograma: línea isoeléctrica- Estudio de flujo sanguíneo cerebral: sin FSC
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