HEMATOM INTRAKRANIAL TRAUMATIK

7/23/2019 HEMATOM INTRAKRANIAL TRAUMATIK

1/26

Ekmyk tkhk}oeo

D;;; >0 8;7

AF WEBKT

;

BGIK]JI OE]XKFXKEOKC ]XKWIK]OF

O% ^GEMKBWCWKEMo eg`kxk hgxfgihke` tg~gx}o Oemjegtok# tgoxoe` mge`ke fgiklwke }gfejcjò mke

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fkxgek ~wfwcke%

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bgik}ji "GMB/# twhmwxkc bgik}ji "TMB/# mke oe}xktgxghxkc bgik}ji "ODB/%


2/26

Ekmyk tkhk}oeo

D;;; >0 8;7

AF WEBKT

8

OO% OETOMGE MKE G^OMGIOJCJ@OMo Kigxofk dgmgxk fg~kck igxw~kfke ~geyghkh fgik}oke }gxhkeykf wtok ;7)==

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hgxfgihke` tg~gx}o Oemjegtok# tgoxoe` mge`ke fgiklwke }gfejcj`o mke ~gihke`weke

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~xgqkcgetoeyk okckb 8#7)7#1 lw}k%;#4

We}wf g~omwxkc bgik}ji# mo Kigxofk fglkmokeeyk tghkeykf 8' mkxo fktwt dgmgxk

fg~kck yke` }gxlkmo "foxk)foxk =>%>>> fktwt ~gx}kbwe/% G~omwxkc bgik}ji cghob tgxoe`

}gxlkmo ~kmk ckfo)ckfo mkx~omk pkeo}k# xk}oj ckfo)ckfo


3/26

Ekmyk tkhk}oeo

D;;; >0 8;7

AF WEBKT

4

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~kmk fwco} fg~kck hoktkeyk momktkxo mge`ke kmkeyk dgmgxk }wcke` }ge`fjxkf mke j}kf%

Lofk }gxmk~k} cwfk ~kmk fwco} fg~kck# ikfk fwco} fg~kck bkxwt mo~kc~kto mke mo

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8/ Lkxoe`ke Twhfw}ot "Djeegd}oqg ]ottwg/Lkxoe`ke twhfw}ot igxw~kfke lkxoe`ke ofk} cgikf yke` igiocofo tg~}k)tg~}k# fkyk

kfke ~gihwcwb mkxkb }gxw}kik mok}kt @kcgk% ^gihwcwb mkxkb }gxtghw} igxw~kfke

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fkxj}ot gft}gxek%

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Awe`to

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~ge`k}wxke ~wtk} mkxo ekmo# }gfkeke mkxkb mke ~gxek~ktke%


7/26

Ekmyk tkhk}oeo

D;;; >0 8;7

AF WEBKT

0

}gi~jxkc% Toxfwckto hkòke ke}gxojx mke ~jt}gxojx hgxawe`to tgdkxk }gx~otkb# ekiwe

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ke}gxojx# k%dgxghxo igmok# k%dgxghxo ~jt}gxojx%8

@kihkx 0% Doxdcg ja Poccot

Mofw}o~ mkxo fg~wt}kfke ej% 8

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bwhwe`ke bgik}jik mge`ke mwxkik}gx mke j}kf% Bgik}jik mk~k} hgxw~k gr}xkmwxkc

bgik}ji "g~omwxkc bgik}ji/# twhmwxkc bgik}ji mke oe}xktgxghxkc bgik}ji%0

;% Bgik}ji G~omwxkc "GMB/Bgik}ji g~omwxkc kmkckb kfwiwckto mkxkb mohkpkb mwxkik}gx% Bgik}ji

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ige`kedki lopk%2

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aktg kpkc }omkf igewelwffke `glkck k}kw }kemk% Hkxw tg}gckb bgik}ji hgx}kihkb

hgtkx# kfke }gxcobk} }kemk ~gemgtkfke mke ~geoe`fk}ke }gfkeke oe}xkfxkeokc% Doxo fbkt

bgik}ji g~omwxkc iwxeo kmkckb }gxmk~k}eyk lkxkf pkf}w ke}kxk tkk} }gxlkmoeyk }xkwik


8/26

Ekmyk tkhk}oeo

D;;; >0 8;7

AF WEBKT

2

mke iwedwcyk }kemk bgik}ji g~omwxkc% Lgmk pkf}w oeo mk~k} hgxcke`twe` hghgxk~k

igeo} tki~ko hghgxk~k lki%?

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mke xgòj axje}kc% ^kmk fghkeykfke fktwt ~gxmkxkbke yke` }gxlkmo hgxktkc mkxo

xjhgfke kx}gxo igeoe`gk igmok k}kw mkxo ~gxdkhke`keeyk }g}k~o bgik}jik lw`k mk~k}

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}xketqgxtkcot k}kw kx}gxo igeoe`gkc ~jt}gxojx%0

@kihkx 2% @kihkxke G~omwxkc bgik}ji mke Twhmwxkc bgik}ji

Mofw}o~ mkxo fg~wt}kfkke ej%;>

8% Bgik}ji Twhmwxkc "TMB/Bgik}ji twhmwxkc kmkckb kfwiwckto mkxkb mo hkpkb mwxkik}gx# }g}k~o mok}kt

igihxke kxkfejom% Bgik}ji twhmwxkc hoktkeyk motghkhfke jcgb xjhgfke qgek

pkckw~we fkmke`)fkmke` mk~k} }gxlkmo kfohk} ~gxmkxkbke kx}gxo twhmwxkc%2

Twhmwxkc bgik}ji mofcktoaofktofke igelkmo kfw}# twhkfw} mke fxjeof hgxmktkxfke

pkf}w fglkmoke dgmgxkeyk


9/26

Ekmyk tkhk}oeo

D;;; >0 8;7

AF WEBKT

?

Kfw} twhmwxkc bgik}ji igxw~kfke kfohk} mkxo dgmgxk fg~kck hgxk} mke hoktkeyk

hgxktkc mkxo cktgxkto fjx}ofkc% ]g}k~o# kfw} twhmwxkc bgik}ji mk~k} hgxktkc mkxo

}xkwik yke` cghob xoe`ke yke` motghkhfke jcgb xw~}wx hxomòe` qgoe k}kw mkxo xjhgfke

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4% Bgik}ji Oe}xktgxghxkc "ODB/^gxmkxkbke yke` }gxlkmo ~kmk igikx j}kf mk~k} igihgtkx igelkmo bgik}ji

oe}xktgxghxkc% Fgckoeke oeo tgxoe` mo}giwfke ~kmk ~gemgxo}k }xkwik fg~kck% Bgik}ji

oe}xktgxghxkc ~kcoe` hkeykf }gxlkmo mo cjhwt axje}kcot k}kw }gi~jxkcot# mke }omkf lkxke`

mo}giwfke iwc}o~gc% @kihkxke fcoeot }gx`ke}we` ~kmk cjfkto mke hgtkxeyk bgik}ji%?

Bgik}ji oe}xktgxghxkc }xkwik}of }gxlkmo kfohk} dgmgxk ~geg}xkto "tg~gx}o dgmgxk

kfohk} iotoc/ k}kw axkf}wx mg~xgto k}kw dgmgxk fg~kck hgxk}% Oe}xktghxkxkc bgik}ji

hoktkeyk motgx}ko mge`ke twhmwxkc bgik}ji%0

@kihkx ?% @kihkx tfgik}of bgik}ji oe}xkfxkeokc }xkwik}of%

Mofw}o~ mkxo fg~wt}kfkke ej% ;;


10/26

Ekmyk tkhk}oeo

D;;; >0 8;7

AF WEBKT

;>

Q% ^K]JAOTOJCJ@ODgmgxk fg~kck }gxlkmo fg}ofk }gxmk~k} `kyk igfkeof yke` igeygxke` fg~kck mke

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k}kw ~geg}xkto% ]xkwik }wi~wc igxw~kfke dgmgxk fg~kck }gx}w}w~ yke` mobktocfke mkxo

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bgik}jik mge`ke dgmgxk djw~ mke dje}xgdjw~% Dgmgxk djw~ }gxlkmo ~kmk mkgxkb

ige`kckio mki~kf cke`twe` mke dgmgxk dje}xgdjw~ }gxlkmo ~kmk mkgxkb hgxckpkeke mkxo

mkgxkb yke` ige`kckio mki~kf cke`twe`%8

@kihkx ;>% Dgmgxk djw~ mke dje}xgdjw~

Mofw}o~ mkxo fg~wt}kfkke ej% 8

Bgik}jik yke` }gxlkmo mofko}fke mge`ke dgmgxk ~xoigx mge`ke hgxhk`ko }oe`fk}

fg~kxkbke# mke mk~k} iwedwc ~kmk ~ktoge yke` tkmkx k}kw ~kmk ~ktoge yke` }omkf tkmkx%

Bkc }gxtghw} igxw~kfke fjetgfwgeto mkxo mki~kf dgmgxk fg~kck ~xoigx }g}k~o }gxfkmke`

~gxfgihk`keeyk }gxckihk}%;8

Kmk mwk }o~g mkxo dgmgxk# ykfeo dgmgxk ~xoigx mke dgmgxk tgfwemgx% Dgmgxk ~xoigx

igxw~kfke kfohk} mkxo `kyk kftgcgxkto mgtgcgxkto mke xj}kto%8#;4 Tgmke`fke dgmgxk

fg~kck tgfwemgx }gxlkmo fgiwmoke tghk`ko kfohk} mkxo dgmgxk ~xoigx%8

;% Dgmgxk ^xoigx


11/26

Ekmyk tkhk}oeo

D;;; >0 8;7

AF WEBKT

;;

Dgmgxk ~xoigx mk~k} hgxikeoagt}kto tghk`ko dgmgxk moawt ykfeo moaawtg krjekc

oelwxy mke dgmgxk hgxtoak} ajfkc tg~gx}o axkf}wx }wcke` }ge`fjxkf# bgik}ji

oe}xkfxkeokc# cktgxkto# fje}wtoj# cwfk ~geg}xkto%;4

Bgik}ji oe}xkfxkeokc mk~k} hgxw~k

@kihkx ;;% Mok`xki ~gigxoftkke ~gewelke` ~kmk dgmgxk fg~kck

Mofw}o~ mkxo fg~wt}kfkke ej% ;>

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fkxgek D] tdke cghob igihke}w mkcki igemok`ejt}of%;#=

Aj}j fg~kck yke` mohwk} ioeoikc bkxwt mkcki 8 ~jtoto yko}w ke}gxj~jt}gxojx mke

ck}gxkc% We}wf aj}j ck}gxkc# ~jtoto aoci mo}gi~k}fke ~kmk toto mge`ke lglkt yke`


14/26

Ekmyk tkhk}oeo

D;;; >0 8;7

AF WEBKT

;=

modwxo`ko kmk axkf}wx% Lofk }gxmk~k} fgdwxo`kke axkf}wx ~kmk fgmwk toto# aj}j ck}gxkc

tghkofeyk mohwk} ~kmk fgmwk toto%;

^kmk wiwieyk# oemofkto mkxo D] tdke ~kmk fktwt dgmgxk fg~kck ioejx k}kw

ijmgxk}# }gxiktwf< ~ktoge mge`ke }kemk)}kemk ~xj`xgtoao}kt egwxjcj`ot mke

~xj`xgtoao}kt ~gewxweke fgtkmkxke mke ~kmk ~ktoge yke` t}k}wt ige}kcyk twco} we}wf

mogqkcwkto%;>

Mge`ke ~gigxoftkke D] tdke fo}k lw`k mk~k} igckfwfke ~geockoke fje}wx `yxwt#

twcfwt# aotwxk# k~kfkb }gxmk~k} `kihkxke bo~gxmget "~gxmkxkbke/ k}kw k}xj~o tgxghxkc%

Tgckoe o}w# lw`k mk~k} igeocko qjcwig cgto hgxmktkxfke ~gxfoxkke ~gxtkikke

ik}gik}ofk hgxofw}


15/26

Ekmyk tkhk}oeo

D;;; >0 8;7

AF WEBKT

;7

8%; Twhmwxkc Bgik}ji^kmk D] tdke fg~kck }ke~k fje}xkt# bgik}ji twhmwxkc kfw}

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yke` }gxcg}kf moke}kxk hk`oke mkcki }wcke` }ge`fjxkf mke ~gxiwfkke mkxo

bgiotagx% Twhmwxkc bgik}ji hgxhge}wf fjefka }gxbkmk~ j}kf mke mohk}kto jcgb

`kxot tw}wxk%

^kmk aktg twhkfw} twhmwxkc bgik}ji igelkmo otjmget mke cghob twco} we}wf

mocobk} ~kmk D] tdke fg~kck }ke~k fje}xkt% Mke ~kmk twhkfw} twhmwxkc bgik}ji

hoktkeyk igihgxofke `kihkxke hgxhge}wf cge}ofwckx tgboe``k ioxo~ mge`ke

g~omwxkc bgik}ji%

^kmk aktg fxjeof# cgto igelkmo bo~jmget lkmo cghob iwmkb moeocko ~kmk D]

tdke fg~kck }ke~k fje}xkt%

@kihkx ;4% K/ Kfw} TMB6 H/ Twhkfw} TMB6 D/ Fxjeof TMB%

Mofw}o~ mkxo fg~wt}kfkke Ej%;>


16/26

Ekmyk tkhk}oeo

D;;; >0 8;7

AF WEBKT

;1

]khgc 8% ^geki~kfke bgik}jik ~kmk `kihkxke D] tdke


4%; Oe}xktgxghxkc Bgik}ji^ktoge mge`ke dgmgxk fg~kck hgxk} k}kw ~ktoge yke` igewelwffke

~gxhwxwfke t}k}wt egwxjcj`ot bkxwt modwxo`ko mge`ke kmkeyk bgik}jik

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bgik}jik% Bkxwt mo dk}k} hkbpk# bgik}ji oe}xktgxghxkc }xkwik}of lkxke`

hgxfgihke` mkcki 8= lki tg}gckb }xkwik%;8

@kihkx ;=% @kihkxke oe}xktgxghxkc bgik}jik yke` }gxlkmo kfohk} kmkeyk

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moawt mkxo kftgckxkto xj}kto# dje}jbeyk fje}wtoj hoaxje}kc }gxlkmo tghk`oko kfohk}

mkxo kmkeyk axkf}wx jdo~o}kc%

Mofw}o~ mkxo fg~wt}kfkke ej%;8


17/26

Ekmyk tkhk}oeo

D;;; >0 8;7

AF WEBKT

;0

@kihkx ;7% Oe}xkdgxghxkc bgik}ji }xkwik}of ~kmk motghkhfke jcgb dje}xg)djw~

oelwxy igewelwffke `kihkxke bo~gxmget ~kmk mkgxkb axje}kc%


QOO% ^GEK]KCKFTKEKKE^xojxo}kt w}kik mkxo xgtwto}kto ~ktoge mge`kedgmgxk fg~kck okckb igedg`kb

}gxlkmoeyk bo~jftok mke bo~j}geto% Tgiwk ~ktoge dgmgxk fg~kck bkxwt modwxo`ko ige`kckio

dgmgxk tgxqofkc# mge`ke igihwfk lkcke ek~kt mge`ke lkp }bxwt} ikegwqgx% Lkmo fwedo

mkxo ~gek}kckftkekke ~ktoge }xkwik okckb tghk`ko hgxofw}0 8;7

AF WEBKT

;2

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19/26

Ekmyk tkhk}oeo

D;;; >0 8;7

AF WEBKT

;?

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20/26

Ekmyk tkhk}oeo

D;;; >0 8;7

AF WEBKT

8>

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21/26

Ekmyk tkhk}oeo

D;;; >0 8;7

AF WEBKT

8;

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22/26

Ekmyk tkhk}oeo

D;;; >0 8;7

AF WEBKT

88

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23/26

Ekmyk tkhk}oeo

D;;; >0 8;7

AF WEBKT

84

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OR% ^XJ@EJTOT


24/26

Ekmyk tkhk}oeo

D;;; >0 8;7

AF WEBKT

8=

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25/26

Ekmyk tkhk}oeo

D;;; >0 8;7

AF WEBKT

87

MKA]KX ^WT]KFK

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