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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">O objectivo deste trabalho foi avaliar&#44; retrospectivamente&#44; a import&#226;ncia dos v&#225;rios factores de progn&#243;stico nos doentes traumatizados operados em coma no nosso Servif&#59;&#59;o em 1996 &#40;32 doentes&#41; e em 1986 &#40;32 doentes&#41;&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Regist&#225;mos&#58; idade&#44; sexo&#44; grau na Escala de Coma de Glasgow &#40;E&#46;C&#46;G&#46;&#41;&#44; reflexos fotomotores&#59; intervalo de instala&#231;ao coma&#47;cirurgia&#44; imagem na T&#46;A&#46;C&#46;&#44; valores de press&#227;o intracraniana e de press&#227;o de perfus&#227;o cerebral e as complica&#231;&#245;es no p&#243;s operat&#243;rio&#46; Avali&#225;mos a impot&#226;ncia de cada um destes factores na &#8220;Glasgow Outcome Scale&#8221; aos 6 meses ap&#243;s o traumatismo&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Como factor de por pognostico somentiteve compara&#231;&#227;o estatistica &#40;teste qui-cuadrado p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41; um menor grau na resposta motora na E&#46;C&#46;G&#46; no grupo de 1996&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Na decis&#227;o cir&#250;rgica devem considerar-se os v&#225;rios factores cl&#237;nicos e imagiol&#243;gicos&#46; N&#227;o podemos deixar de intervir baseados apenas num factor de mau progn&#243;stico&#46;</p>"
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        "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The purpose of this retrospectiv&#46;e study was to analyze the factors influencing the outcome of patients with a severe head injury undergoing surgery in our center&#46; Thirty-two patients were identified in 1996 and 1986&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The following information was recorded for each patient&#58; age&#44; sex&#44; Glasgow Coma Scale &#40;G&#46;C&#46;S&#46;&#41; score&#44; interval between the first observation of coma and surgery&#44; CT scan findings&#44; intracranial pressure and cerebral perfusion pressure and the postoperative complications&#46; Outcome was determined independently from assessements made at 6 months after head injury and classified according to the Glasgow Outcome Scale&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">In the group of 1996&#44; patients with lower motor response in G&#46;C&#46;S&#46; had a worse prognosis &#40;chi-square test&#44; p<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">In the operative treatment we must consider several clinical and CT features&#46; There is no sufficient evidence to say that any particular sign provides reliable information for withdrawal of surgical treatment&#46;</p>"
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Doentes com traumatismo crânio-encefálico em coma operados. Factores de morbilidade e mortalidade
Surgically treated severe head injury patients. Factors influencing morbility and mortality
J.L. Reís, C. Pinheiro, V. Martins, E. Carvalho
Serviço de Neurocirugia. Hospital Geral Santo António. Porto. Portugal
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">O objectivo deste trabalho foi avaliar&#44; retrospectivamente&#44; a import&#226;ncia dos v&#225;rios factores de progn&#243;stico nos doentes traumatizados operados em coma no nosso Servif&#59;&#59;o em 1996 &#40;32 doentes&#41; e em 1986 &#40;32 doentes&#41;&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Regist&#225;mos&#58; idade&#44; sexo&#44; grau na Escala de Coma de Glasgow &#40;E&#46;C&#46;G&#46;&#41;&#44; reflexos fotomotores&#59; intervalo de instala&#231;ao coma&#47;cirurgia&#44; imagem na T&#46;A&#46;C&#46;&#44; valores de press&#227;o intracraniana e de press&#227;o de perfus&#227;o cerebral e as complica&#231;&#245;es no p&#243;s operat&#243;rio&#46; Avali&#225;mos a impot&#226;ncia de cada um destes factores na &#8220;Glasgow Outcome Scale&#8221; aos 6 meses ap&#243;s o traumatismo&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Como factor de por pognostico somentiteve compara&#231;&#227;o estatistica &#40;teste qui-cuadrado p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41; um menor grau na resposta motora na E&#46;C&#46;G&#46; no grupo de 1996&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Na decis&#227;o cir&#250;rgica devem considerar-se os v&#225;rios factores cl&#237;nicos e imagiol&#243;gicos&#46; N&#227;o podemos deixar de intervir baseados apenas num factor de mau progn&#243;stico&#46;</p>"
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        "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The purpose of this retrospectiv&#46;e study was to analyze the factors influencing the outcome of patients with a severe head injury undergoing surgery in our center&#46; Thirty-two patients were identified in 1996 and 1986&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The following information was recorded for each patient&#58; age&#44; sex&#44; Glasgow Coma Scale &#40;G&#46;C&#46;S&#46;&#41; score&#44; interval between the first observation of coma and surgery&#44; CT scan findings&#44; intracranial pressure and cerebral perfusion pressure and the postoperative complications&#46; Outcome was determined independently from assessements made at 6 months after head injury and classified according to the Glasgow Outcome Scale&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">In the group of 1996&#44; patients with lower motor response in G&#46;C&#46;S&#46; had a worse prognosis &#40;chi-square test&#44; p<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">In the operative treatment we must consider several clinical and CT features&#46; There is no sufficient evidence to say that any particular sign provides reliable information for withdrawal of surgical treatment&#46;</p>"
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ISSN: 11301473
Idioma original: Español
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