HEMODYNAMIC PREDICTORS IN CONSIDERING SURGERY APPROACH FOR PATIENTS WITH TRAUMATIC CONSTRICTION OF THE BRAIN
Aim. To optimize the choice of surgical approach for patients with traumatic constriction of the brain taking into account criteria of the cardiovascular system. Materials and methods. 130 patients with traumatic compression of the brain were studied: the first group consisted of 41 patients with a Glasgow Coma Scale score of 6,8±0,93; the second group had 53 patients with a score of 10,3±0,86; the third group consisted of 36patients with a Glasgow Coma Scale score of 13,4±0,78. The control group included 20 subjects. Hemodynamics system was examined by impendansometry dopler-cardiography method. Results. Patients of the first group had hypokinetic type of blood circulation with a decompensated cardiac failure. In second group patients, hyperkinetic type of circulation with a hypertrophic type of cardiac failure was observed. Patients of the third group had a eukinetic type of blood circulation and subcompesated cardiac failure. Conclusion. Considering revealed indicators of hemodynamics, patients of the first group need urgent surgical intervention, patients of the second group need delayed surgical intervention and the third group patients need conservative therapy.