56 cases of traumatic subarachnoid hemorrhage clinical diagnosis and treatment.docVIP

 PAGE \* MERGEFORMAT 8 56 cases of traumatic subarachnoid hemorrhage clinical diagnosis and treatment Author: Chen Jun Wang Weimin JIANG Qi Zhou Xiao Wu Jianyue nationals [Keywords:] traumatic subarachnoid hemorrhage Traumatic subarachnoid hemorrhage (traumatic subarachnoid hemorrhage, tSAH) of acute traumatic brain injury in the common form of pathological changes in cerebral vasospasm frequently occur, and disability and mortality are high. This study of 56 cases tSAH clinical data analysis are summarized below. 1 Data and methods 1.1 General Information Hangzhou Second People’s Hospital since January 2005 to February 2008 were treated 301 cases of traumatic brain injury in which tSAH56 hospitalized cases, 37 cases of males and 19 females, aged 11 to 68 years old, with an average (34.25 ± 18.56) years of age . Including 35 cases of traffic accident injury, combat injury in 7 cases, height of fall injuries in 14 cases. 32 cases of cerebral contusion, subdural or epidural hematoma in 28 cases, 19 cases of intracerebral hematoma, skull fracture in 18 cases. The main symptoms are headache, vomiting with neck resistance, 19 cases of meningeal irritation, coma in 17 cases, 6 cases of traumatic seizures, limb movement disorders in 10 cases. All cases were confirmed by CT scan, CT-negative lumbar puncture confirmed the performance. CT manifestations graded according to Fisher and Kistler standards [1]: CT scan found no bleeding (Ⅰ grade) in 5 cases, diffuse bleeding or bleeding thickness less than 1mm thin person (Ⅱ grade) in 20 cases, bleeding is greater than the thickness of 1mm persons ( Ⅲ grade) 19 cases were associated with brain or intraventricular hemorrhage (Ⅳ grade) in 12 cases. 1.2 Methods and Treatment CT manifestations of 56 cases, in accordance with grade Ⅲ ~ Ⅳ grade in 31 patients on admission Across emergency hematoma evacuation and / or exploratory craniotomy decompression (15 regular ventricle puncture and drainage) and the other 1 cas