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Traumatic brain injuries include scalp injuries, skull injuries, and brain injuries, all three of which can be combined. If it is a simple scalp injury or skull fracture, symptomatic treatment is usually given**. If the scalp is laceration, debridement and suturing are given, anti-infective drugs such as penicillins or cephalosporins can be given, and anti-drugs such as nimesulide capsules may be used.
If it is a severe intracerebral injury, such as cerebral contusion, intracranial hematoma, epidural hematoma, subdural hematoma, etc., hemostatic drugs, such as tranexamic acid, hemostatic sensitivity, hemostatic aromatic acid, etc., should be used; Use of nutritional neurological drugs such as gangliosides, and drugs to prevent gastrointestinal bleeding, such as omeprazole; Use dehydrating drugs such as mannitol. In addition, nutritional support drugs such as amino acids, fat emulsion, etc. should be given. If the patient has a large hematoma, surgery should be considered if necessary, and anti-infective drugs should be used postoperatively to prevent infection.
Experts from Chengdu Xinhua Hospital remind you that you must take medication under the guidance of a doctor. And you have to go to a regular hospital for **Oh.
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For the syndrome of traumatic brain injury, you can eat some brain-strengthening food, or eat some salvia and vitamin brain pathway, which will have a certain effect.
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There are relatively many types of drugs for traumatic brain injury syndrome, and symptomatic treatment is mainly carried out according to the specific situation of the patient. If the patient has a headache, oral nonsteroidal anti-inflammatory drugs can be used, most commonly loxoprofen, acetaminophen, ibuprofen and other related drugs. If the patient has symptoms such as dizziness, drugs such as betahistine and flunarizine hydrochloride can be taken orally.
If patients need to improve cerebral circulation and protect the brain, they can take oral drugs such as idebenone and citicoline tablets. If the patient has certain cognitive impairment, such as memory loss, oral administration of ginkgo biloba is also good. The specific application of the drug must be judged according to the actual situation, the drug is not the complete subject, more important is to strengthen their own rest, maintain sufficient sleep time, and more beneficial to the patient's related condition changes.
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In people under the age of 50, head trauma causes higher mortality and disability than any other disease. In severe head injuries, the mortality rate is close to 50%. The brain is relatively delicate, and the ability to regenerate brain tissue is weak, so there are more sequelae of head trauma.
Symptoms such as headache, dizziness, difficulty concentrating, and memory loss can occur even in the milder back of the brain. Cerebral contusion and laceration can leave hemiplegia, aphasia, audiovisual and visual impairment, epilepsy, and cognitive, emotional, behavioral, and personality changes. The most severe traumatic brain injury is secondary to persistent vegetative state (PVS).
For more than 10 years, we have achieved remarkable results in various types of traumatic brain injuries, combined with hyperbaric oxygen and ****.
Typical cases: 1. Jiang Yongxu, male, 24 years old, Chaoyang District, Beijing, The patient fell from the 14th floor due to the loss of control of the elevator 5 years ago, and immediately fell into a coma. There were no obvious abnormalities in cranial CT and EEG. Post-traumatic language is monotonous, repetitive, easily agitated, provocative, inattentive, and lazy.
**After half a year, I spoke clearly and my self-control increased. **11 months to speak to the point, logical, comprehension enhanced. Self-care and can do some mental and physical work.
2. Chen Baocai, male, 48 years old, Changping, Beijing, fell from a 3-meter-high roof 9 months ago, and was hit on the head by a wooden nail, and immediately fell into a coma. Urgently underwent "subdural hematoma removal", and was in a coma for 3 weeks after surgery, and now he is gradually conscious, has difficulty speaking, and can only speak words. I can't get out of bed and walk, my muscles are tense, and my limbs can only do light movements.
One recent convulsion. ** In one year, speech is more than before, you can get out of bed and walk with support, and the range of motion of your limbs is increased. Epilepsy control.
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I know that a brain traumatic epilepsy epilepsy called Jichong epilepsy** has a better effect, I insisted on using Jichong epilepsy** for half a year, it has been a year, and I have not had a seizure, you can try it.
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What should happen if epilepsy is caused by traumatic brain injury**.
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The sequelae of traumatic brain injury can only be symptomatic**, especially for patients who have missed the **time window**, it can only be symptomatic**, and there is no good way to do it at present. After the cerebral edema period after the 7th day of traumatic brain injury, it is the best ** period, and we must seize this opportunity, because the sequelae will be obvious if you miss it. At this time, the main choice is the clinical practice of Chinese medicine Panax notoginseng as follows:
The effect of Panax notoginseng on the cerebrovascular system and the repair of craniocerebral injury.
1.Improve cerebral blood circulation Panax notoginseng can dilate cerebral blood vessels, reduce cerebral vascular resistance, and increase cerebral blood flow. PNS decreased the mean blood pressure (BMP) and cerebrovascular resistance (CVR) of the femoral artery in anesthetized rabbits, and also decreased the BMP and CVR in anesthetized rats in a dose-dependent manner, but did not increase cerebral blood flow, and also had a dilating effect on the internal carotid artery.
2.Protective effect on experimental cerebral ischemia PNS can significantly reduce reperfusion edema after whole brain or focal cerebral ischemia, improve the permeability of the blood-brain barrier, and significantly increase local blood flow. PNS has a calcium channel blocking effect, which can block calcium overload in nerve cells after brain injury, block the formation of Ca2+ and CAM complexes, reduce the release of free fatty acids and the production of oxygen free radicals, reduce the content of malondialdehyde (MDA) in blood and brain tissue after brain injury, and have a protective effect on craniocerebral injury.
PNS can alleviate traumatic neurological symptoms caused by cerebral ischemia-reperfusion and the degree of neuronal damage in the hippocampal CA1 region, and the mechanism may be up-regulation of Hsp70 and down-regulation of transferrin.
3.Nootropic effect: Panax notoginseng saponins G2RB1 and G2RG1 can significantly enhance children's learning and memory ability, and have varying degrees of antagonistic effects on children's poor memory caused by sodium nitrite and 40% ethanol.
It is speculated that the effects of RB1 and RG1 on learning and memory may be related to their effects on the activities of ATPase and calmodulin in the hippocampal synaptic membrane.
Course observation: After the edema period after the 7th day of brain injury, start to apply 2-3g of Panax notoginseng extract per day, after 1 month of application, the condition will have a stable expectation, and then use 2-3 months to begin to restore the corresponding function, this period must be combined with functional exercise. The recovery rate of brain injury is 85% after six months, and the recovery rate is about 90% after more than one year.
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Relax your mind, don't be anxious and nervous, live a regular life, and be in a cheerful mood. Symptomatic treatment at the time of seizure.
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Analysis: According to your description, the above symptoms should be the sequelae caused by brain injury, and it may take a long time to recover. You can observe for a long time, and it is true that you will not be able to completely return to normal for a while.
Guiding opinions: You can choose a light diet to adjust the situation described in the songdou, actively strengthen nutritional supplements, pay attention to rest, and appropriately cooperate with drugs to nourish brain cells, brain activin tablets, and other drugs such as nourishing the heart and clearing the brain and taking pills orally, for a long time, observe by yourself to see if it can be improved, and if necessary, choose CT to check whether the above diseases are cured.
Life care: Develop good living habits, observe for yourself, and hopefully try to return to normal ambitions.
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【Pattern differentiation】The pattern differentiation is blood stasis and blood deficiency, and there is a mixture of cold, heat, deficiency and reality.
Treatment] cool blood and invigorate blood, supplemented by blood nourishment, soothing the nerves, accompanied by the medicine of dampness and water.
Prescription Medicine] Angelica sinensis 12g, Chuanxiong 9g, Peony peel 15g, Dilong 12g, Salvia miltiorrhiza 25g, Poria cocos 9g, Zhuru 9g, fried jujube kernel 10g, Rehmannia rehmannia 10g.
Usage] 6g each time, 3 times a day, 20 days for 1 course of treatment. Nerve Targeted Repair** allows nerve growth factor to act intervenally on the site of injury. Activate dormant nerve cells, realize the self-differentiation and renewal of nerve cells, replace damaged and dead nerve cells, rebuild neural circuits, increase oxygen supply to the brain and blood circulation, and promote the redevelopment of organs.
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