Correlation of high intracranial pressure and surgical decompression degree in severe traumatic brain injury with non hematoma

Objective To investigate the correlation of high intracranial pressure and surgical decompression degree in severe traumatic brain injury with non-hematoma. Methods Five hundred and sixty-eight patients of severe traumatic brain injury with high intracranial pressure not because of hematoma were performed surgical treatment from September 2008 to January 2012. GCS Glasgow score (GCS) was recorded. In order to reduce the GCS score influence on the prognosis in of the selection process, the patients with GCS score of 4 were selected as the research objects. When Discharged, all the patients were carried out Glasgow Outcome evaluation criteria (GOS) assessment, patients are grouped according to the degree of surgical decompression, and the data of the prognosis were analyzed among the groups. Results The mortality rate in the postoperative hypertension group (78.8%) was significantly higher than that in the postoperative low-pressure group (39.3%) and postoperative normal group (23.5%); the well rate in the postoperative low-pressure group was significantly higher than that in the postoperative hypertension group; the probability of plant survival (10.7%) in postoperative intracranial hypotension group were higher than that in the other two groups. Conclusion Postoperative intracranial pressure should be maintained in the state of low normal range to reduce mortality in severe traumatic brain injury with non-hematoma.