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Treatment of depressed skull fracture —— Surgical consultation of clinicians
Question: A boy of 16 years old fell from the third floor two hours ago and injured his left top. At that time, he had a temporary disturbance of consciousness. The laceration of the left upper scalp is incomplete, with a length of 1.5cm and local scalp swelling. Frontal craniotomy showed a left parietal depression fracture with a depth of 0.5cm. Cranial CT showed a left parietal depression fracture with local scalp swelling. Which of the following treatments is wrong?

A. incomplete cleaning leads to scalp tearing

B. Depressed fractures do not need treatment.

C. giving antibiotics

D. observe whether there is intracranial hematoma.

E. pressure dressing

Scalp swelling needs pressure dressing, but he has a local depression fracture. Is it okay to press the bandage? Ask me about the mistake of thinking. Why doesn't concave skull fracture need treatment?

Analysis: The wound can be covered generally, and the compression dressing will affect the depressed fracture.

There are some descriptions in the new master's textbook: there are still differences on whether concave fractures need treatment. At present, it is generally believed that the depth of each depression is >:1cm; Located in an important functional area; The fracture piece pierces the brain; Patients with paralysis, aphasia or localized epilepsy caused by fracture should be treated surgically. Pry up the broken bone for reduction, or take out the broken bone for cranioplasty. The non-functional area is slightly depressed, or the venous sinus fracture without symptoms of brain compression is not suitable for surgery.

Related nouns

Cranium fracture can be divided into linear fracture and concave fracture according to morphology.