Yang Kaichao, a neurosurgeon, said that if the degree of brain swelling and pneumothorax is relatively mild, conservative drug treatment can be used first; but because the patient has an open fracture, if it is not urgently reset and repaired, air may continue to infuse the brain, aggravate the brain swelling, and even life-threatening.

(Provided by Beirong Hsinchu Branch)

[Reporter Liao Xueru/Hsinchu Report] A 15-year-old boy surnamed Song went out with his family one night. He was sitting in the middle of the back seat of a passenger car without wearing a seat belt. Unexpectedly, he crashed into the front seat in a car accident. Windshield, head lacerations and multiple contusions of the limbs, fell into a severe coma, went to the doctor for computerized tomography examination, found open fractures of the skull base, nasal bones and facial bones, combined with brain swelling and pneumothorax, and was in critical condition; The operation was reset and repaired. The patient was successfully extubated 3 days later, and his consciousness returned to sobriety. He is still in hospital for treatment.

Yang Kaichao, a neurosurgeon at the Hsinchu Branch of Taipei Veterans General Hospital, said that the patient hit the windshield due to a self-collision car accident. In addition to a 15-centimeter laceration from the nose up to the top of the head with visible bones, and multiple contusions on the limbs, He fell into a severe coma and was sent to the emergency room of the hospital by ambulance. His vital signs were still stable, but he was still in a severe coma (the coma index was 6 points).

Urgent arrangement of computerized tomography examination revealed that the patient had open fractures of skull base, nasal bone, and facial bones, combined with brain swelling and pneumothorax.

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Yang Kaichao pointed out that if the degree of brain swelling and pneumothorax is relatively mild, conservative medication can be used first; however, the patient had an open fracture, and if it is not repaired urgently, air may continue to infuse the brain, aggravate the brain swelling, and even be life-threatening .

Therefore, he immediately teamed up with plastic surgeon Qiu Yuren to urgently repair the skull, nasal bone and facial bones, and put an intracranial pressure monitor. Due to the timely and proper repair, the pneumothorax was significantly improved.

The patient was successfully extubated 3 days later, regained consciousness (the coma index was a full score of 15), and continued to be hospitalized.

Beirong Hsinchu Branch reminds that the seat belt is a life-saving talisman. Remember to fasten it when driving. If you do not fasten the seat belt in the correct way, in the event of an accident, not only will you lose the protection of the seat belt, but it will also cause heavy casualties.

Therefore, the first thing to do when getting in the car is to fasten seat belts for yourself and your family. In addition, children under 4 years old and weighing less than 18 kg should use child safety seats so that they can go out happily and return home safely.

The nasal bone and facial bone were fractured, and the pneumocephalus spread to the high cervical spine.

(Provided by Beirong Hsinchu Branch)

Pneumocephalus with apparent dissemination of basilar skull fractures.

(Provided by Beirong Hsinchu Branch)

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keywords

  • car accident

  • fracture

  • seat belt

  • contusion

  • Laceration

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