What Is the Calvaria?
1. Linear fracture: The head injury area may or may not have scalp contusion. If there is no intracranial injury, there are often no significant symptoms, such as intracranial hematoma and brain or cranial nerve injury.
Skull fracture
- The skull is a spherical shell that holds and protects the contents of the cranial cavity. skull
- Linear
- Diagnose based on
- 1. History of head trauma.
- 2. Linear fractures: plain radiographs of the skull show single or multiple fracture lines.
- 3. Depression fractures: Plain radiographs of the skull show overlapping bone fragments, increased density or displacement of bone fragments, or local entrapment. Infant skull depressions often appear as table tennis depressions.
- 4. Comminuted fracture: plain X-ray film of the skull shows multiple intersecting fracture lines.
- 5. Growth fracture: The swelling in the wound area does not subside after injury or the scalp at the fracture site rises with pulsation and undulation after 3 to 4 months. Then take a radiograph of the head and see: the linear fracture is widened.
Treatment of skull fracture
- 1. All skull fractures should be observed for intracranial hematoma, brain contusion and cranial nerve injury, and should be treated at the same time.
- 2. Linear fractures, slight depression fractures, and comminuted fractures without displacement of the fracture plate can all be cured by themselves.
- 3. The following situations require surgery: (1) fractures with intracranial hematoma. (2) Depression fractures are located in the motor area, or the depression is more than 1cm deep, and the depression area is large, causing brain compression.
- (3) Fractures puncture the dura, causing brain contusion and bleeding.
- (4) Fractured slices hurt large sinus.
- (5) Fractures or wounds of the open skull are unhealed, and bone fragments remain.
- (6) Growth fracture.
Principles of medication for skull fractures
- 1. Use refined tetanus antitoxin immediately after the injury and choose an effective antibiotic.
- 2. If surgery is needed, antibiotics should be used after surgery.
- 3. If there is epilepsy, the author should use antiepileptic drugs, continue to use the drug for more than six months after controlling epilepsy, and then gradually reduce the dose.
- 4. If there is cerebral edema, people with intracranial hypertension need to use dehydrating agents and neurotrophic drugs.