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Disseminated Intravascular Coagulation Related to Outcome in Head Injury

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Proceedings of the 6th European Congress of Neurosurgery

Part of the book series: Acta Neurochirurgica ((NEUROCHIRURGICA,volume 28))

Summary

In 46 head-injured patients coagulation studies were performed immediately after admission. In 76% of all cases signs of disseminated intravascular coagulation (DIC) were found. DIC was related to the severity of the injury and outcome. It is suggested that DIC may be used as an important parameter in assessing craniocerebral trauma.

In a previous report it was stated that disseminated intravascular coagulation (DIC) is met frequently in head-injured patients (2.5–15.3%), and is associated with a more severe grade of injury and an increased mortality4. This paper explores in more detail the relationship between outcome after head-injury and signs of PIC, as detected by laboratory studies performed in the first few hours after injury.

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References

  1. Auer, L., Disturbances of the coagulatory system in patients with severe cerebral trauma. Acta Neurochir. (Wien) 43 (1978), 51–59.

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  2. Cooper, P. R., Clark, K., Outcome index for head-injured patients (Letter). J. Neurosurg. 49 (1978), 777.

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  3. Jennett, B., Teasdale, G., Galbraith, S., et al,Severe head injuries in three countries. J. Neurol. Neurosurg. Psychiat. 40 (1977), 291–298.

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  4. Pondaag, W., Disseminated intravascular coagulation in head-injured patients. In: Advances in Neurosurgery, vol. 6, pp. 159–163 ( Wüllenweber, R., Wenker, H., Brock, M., Klinger, M., eds.). Berlin-Heidelberg-New York: Springer. 1978.

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  5. Sande, J. J. v. d., Veltkamp, J. J., Boekhout-Mussert, R. J., et al,Head injury and coagulation disorders. J. Neurosurg. 49 (1978), 357–365.

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© 1979 Springer-Verlag Wien

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Pondaag, W. (1979). Disseminated Intravascular Coagulation Related to Outcome in Head Injury. In: Brihaye, J., et al. Proceedings of the 6th European Congress of Neurosurgery. Acta Neurochirurgica, vol 28. Springer, Vienna. https://doi.org/10.1007/978-3-7091-4088-8_22

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  • DOI: https://doi.org/10.1007/978-3-7091-4088-8_22

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-4090-1

  • Online ISBN: 978-3-7091-4088-8

  • eBook Packages: Springer Book Archive

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