<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1560-4381</journal-id>
<journal-title><![CDATA[Correo Científico Médico]]></journal-title>
<abbrev-journal-title><![CDATA[ccm]]></abbrev-journal-title>
<issn>1560-4381</issn>
<publisher>
<publisher-name><![CDATA[Universidad Ciencias Médicas de Holguín]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1560-43812020000200491</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tomografía axial computarizada en los traumatismos craneoencefálicos. Hospital Lenin: junio 2015 - junio 2016, Holguín, Cuba]]></article-title>
<article-title xml:lang="en"><![CDATA[Computerized axial tomography in traumatic brain injuries. Hospital Lenin: June 2015- June 2016, Holguín, Cuba]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Pino]]></surname>
<given-names><![CDATA[Yamily]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camejo González]]></surname>
<given-names><![CDATA[Nancy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Cruz]]></surname>
<given-names><![CDATA[Yamila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zúñiga Torres]]></surname>
<given-names><![CDATA[Elsaibett]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz Pérez]]></surname>
<given-names><![CDATA[Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cutié Anido]]></surname>
<given-names><![CDATA[Yudelkis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Universitario Vladimir Ilich Lenin  ]]></institution>
<addr-line><![CDATA[Holguín ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Clínico-Quirúrgico Lucía Íñiguez Landín  ]]></institution>
<addr-line><![CDATA[Holguín ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas de Holguín  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>2</numero>
<fpage>491</fpage>
<lpage>515</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1560-43812020000200491&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1560-43812020000200491&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1560-43812020000200491&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  elevado índice de mortalidad, prolongadas hospitalizaciones, secuelas y daños económicos y sociales provocan que los traumatismos craneoencefálicos constituyan uno de los problemas socioeconómicos más importantes en la actualidad. La tomografía axial computarizada se considera la técnica de referencia para su detección.  Objetivo: identificar el valor de la tomografía axial computarizada de urgencia en el trauma craneoencefálico.  Método:  se realizó un estudio descriptivo retrospectivo de 917 pacientes, a los cuales se les realizó tomografía computarizada de cráneo en el momento del ingreso o en las primeras 24 horas después del trauma craneoencefálico, en el Hospital Vladimir Ilich Lenin, Holguín, Cuba, en el período comprendido entre junio de 2015 y junio de 2016, en busca de lesiones intra y extracraneales consecuencias del trauma.  Resultados:  los traumatismos craneoencefálicos predominaron en edades entre 31 y 50 años (30,1%), el sexo más afectado fue el masculino (75,3%), predominaron las lesiones leves: contusiones (16,3%) y fracturas lineales (10,9%). Los accidentes de tráfico (48,3%) constituyeron su principal causa.  Conclusiones:  la tomografía axial computarizada permitió el diagnóstico de lesiones en más de la mitad de los pacientes con trauma craneoencefálico, en los que predominaron las lesiones leves, según la clasificación de Glasgow. Posibilitó la descripción de signos precoces de hipertensión intracraneal con la aplicación de los criterios de Marshall.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  high mortality rate, prolonged hospitalizations, after-effects, economic and social damages make traumatic brain injuries one of the most important socio-economic problems today. Computerized axial tomography is considered the reference technique for detection.  Objective:  to identify the importance of emergency computerized axial tomography in traumatic brain injuries.  Method:  a descriptive, retrospective study performed to 917 patients who underwent skull computerized tomography at the time of admission, or within the first 24 hours after the head trauma, at Hospital Vladimir Ilich Lenin, Holguín, Cuba, during the period between June 2015 and June 2016, in search of intra and extracranial injuries resulting from trauma.  Results:  traumatic brain injuries predominated at ages 31-50 (30.1%), the most affected sex was male (75.3%), mild lesions predominated: contusions (16.3%) and linear fractures (10.9%). Traffic accidents (48.3%) were the main cause.  Conclusions:  Computerized axial tomography allowed diagnosis of injuries in more than half of the patients with head trauma in which, according to Glasgow classification, mild lesions predominated. It was possible to describe early signs of intracranial hypertension with the application of Marshall criteria.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[traumatismos craneoencefálicos]]></kwd>
<kwd lng="es"><![CDATA[tomografía axial computarizada]]></kwd>
<kwd lng="es"><![CDATA[paciente]]></kwd>
<kwd lng="en"><![CDATA[traumatic brain injuries]]></kwd>
<kwd lng="en"><![CDATA[computerized axial tomography]]></kwd>
<kwd lng="en"><![CDATA[patient]]></kwd>
</kwd-group>
</article-meta>
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<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bharadwaj]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Rocker]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Minor head injury: limiting patient exposure to ionizing radiation, risk stratification, and concussion management]]></article-title>
<source><![CDATA[Curr Opin Pediatr]]></source>
<year>2016</year>
<volume>28</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>121-31</page-range></nlm-citation>
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</back>
</article>
