The aim of this study was to evaluate the medical management of traumatic brain\ninjury. We performed a retrospective and descriptive study during the period from\n1st January 2014 to 31st December 2015 (24 months), into the surgical department of\nthe University Hospital of Brazzaville. 167 cases of non-operated traumatized brain\nhave been identified. The average age was 29.84 years. The sex ratio was 8.82. Accidents\non public roads were responsible for injury in 88.2% of the cases. 46.71% of patients\nhad a moderate traumatic brain injury while 10.18% had a severe traumatic\nbrain injury. Radiological evaluation was highlighted for the brain contusion in\n52.09% of the cases. Tracheal intubation and ventilation were completed only in 6\nout of the 17 cases of severe traumatic brain injury. Prevention of post-traumatic\nseizure was performed with the use of phenobarbital or sodium valproate. Mannitol\nwas used for its osmotic properties. The outcome was favorable in 55.68% of the cases.\nThe most common complications were pulmonary infections, persistent neurological\ndisorders, urinary infection and hyponatremia. Mortality was recorded at\n13.77%. Nonsurgical management of traumatic brain injury involves an expansion of\nthe ventilatory assistance indication at all severe traumatic brain injuries, the fight\nagainst infectious complications and ionic monitoring.
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