Severity assessment of craniocerebral trauma
1.Light (simple concussion with or without skull fracture)
(1) Coma for 0-30 minutes.
(2) Only mild dizziness, headache and other self-conscious symptoms.
(3) No significant changes in the neurological system and cerebrospinal fluid examination.
2.Medium-sized (mild cerebral contusion with or without skull fracture and subarachnoid hemorrhage, without cerebral compression)
(1) Coma within 12 hours.
(2) Mild positive neurological signs.
(3) Mild changes in body temperature, respiration, pulse rate, and blood pressure.
3.Heavy (extensive skull fracture, extensive brain contusion and brainstem injury or intracranial hematoma)
(1) Deep coma, coma for more than 12 hours, progressive worsening of consciousness disorder or re-coma.
(2) There are obvious positive neurological signs.
(3) There are obvious changes in body temperature, respiration, pulse and blood pressure.
4.Extra heavy (more acute and severe in heavy)
(1) brain primary injury, deep coma after the injury, there is to go to the brain ankylosis or with other parts of the organ injuries, shock, etc..
(2) there has been advanced brain herniation, including double pupil dilatation, severe disorder of vital signs or respiration has nearly stopped.
5, according to the Glasgow Coma Scale (GCS) and the length of the primary coma after the injury, the degree of injury is marked.
(1) light: 13-15 points, post-injury coma within 30 minutes.
(2) Medium: 9-12 points, with a post-injury coma time of 30 minutes to 6 hours.
(3) Heavy: 3-8 points, post-injury coma for more than 6 hours or deterioration of consciousness within 24 hours after the injury, and again coma for more than 6 hours.
(4) Extra heavy: 3-5 points, more acute and more severe in heavy.