Analysis of the results of treatment of patients with gunshotwound to the head in acute and early postoperative period

Objective ‒ to evaluate the results of treatment gunshot wounds head in conditions a specialized neurosurgical center and determine factors that negatively affected treatment.Materials methods. The study is retrospective. 109 cases with open closed craniocerebral injuries, which came military medical during hostilities East Ukraine period from March 2014 end December 2017 were analyzed. All patients treated at National Military Medical Clinical Center «Main Hospital». Collected information on demographic indicators, features assistance provided stages evacuation, type injury. Glasgow outcome scale (GOS) was used results. Results. Shrapnel injuries prevailed 82 (75.23 %) cases, bullet diagnosed less frequently 17 (15.6 10 (9.17 servicemen injured as result blast wave. vast majority wounded admitted good condition – 81 (74.32 patients, moderate 15 (13.75 %), coma I 5 (4.59 II 3 (2.75 III %). Computed tomography performed all upon admission. frequency infectious complications 31.19 %. 45 underwent repeated surgeries, 26 operated three times for different institutions stages, more than times. 52 (47.7 had recovery (GOS 4, 5). 44 (40.36 discharged GOS 3, vegetative state 2), died 1). Statistically significant (p<0.05) negative impact are GCS <12 admission, Injury severity score >25, CSF leak, complications, operations.Conclusions. should have CT scan immediately admission facility. Patients be hospitalized centers where there full examination, possibility providing care. This reduces number surgical interventions and, accordingly, complications.