....

-
:
, ,.
Traumatic Brain Injury -
.

.

 ()....
:
1.4
1.1
- 235.000
80.000
- 50.000
: ,
,.
: 15-19,

-

GCS
Severe

3-8

Moderate

9-12

Mild

13-15







/

/

:

ICP-

Monro-Kellie doctrine

Monro-Kellie doctrine

CBF(mL/100g/min)

Cerebral Autoregulation

50

Diameter of cerebral vassels

MAP

50 mmHg

150 mmHg

PaCO2

55 mmHg

20 mmHg

/

-

Foramen
Magnum
:


1.-
2.
3.


Brain concussion

( ) , ,
, , .

: .

Brain Contusion

Diffuse Axonal Injury

,
, corpus collosum


,

Epidural Hematoma

!Lucid interval -

ICP

:
!!!
CT

Epidural Hematoma

Epidural Hematoma

Subdural Hematoma
Acute/Subacute SDH

,

ICP

Chronic Subdural
Hematoma




:
, ,
,
:

Chronic Subdural
Hematoma

Intracerebral Hematoma

ICP

:
Dura

ABC

Glasgow Coma Scale

.

Glasgow Coma Scale

Decortication/Decerebratio
n



-
/
"




1.
2.
3.
4.
5. -

 "
:
- , ,,.
: , ,,,

:" , ,.
.

ICP/CPP
Normal

ICP = 10-20 mm Hg

Normal

CPP = 70-100 mm Hg

CPP

= MAP - ICP

 ICP

 ICP

 "

)(GCS<8
ICP/CPP
-
MANNITOL
CSF
,

???

 "
/
/

:,


pCO2 30-35 mm Hg
: