A retrospective research on the desicions of 274 treatments of Contusion and laceration of the brain at Temporal lobe and Frontal lobe

Objective To explore the treatment desicions of Contusion and laceration of the brain at temporal lobe and frontal lobe with small hematoma and base pond changes. Methods According to three grades of consciousnee,areas of brain contusion or quantity of hematoma,and changes of base pond,it divided 274 patients into different types,then analyzed treatments and retrospect to them. Results 33 cases of Type Ⅰ:33 cases had operated immediatelly and 3 cases had died;44 cases of Type Ⅱ:17 cases had delayed operations and 1 case had died;27 cases without operations.Type Ⅲ: 15 cases without operations. Conclusion These three-3 method of grade could be regarded as the quantification index of treatment desicions before deterioration. Key words: Contusion and laceration of the brain; Temporal lobe and frontal lobe; Base pond; Treatment decsion; Grade