Acute traumatic intracranial hematoma non-surgical treatment of 40 cases.docVIP

 PAGE \* MERGEFORMAT 7 Acute traumatic intracranial hematoma non-surgical treatment of 40 cases [Abstract] 40 cases of acute traumatic intracranial hematoma in patients with non-surgical treatment and retrospective analysis of indications of that indication of its non-surgical treatment should be based on the state of consciousness, CT scan revealed the hematoma volume and location, midline degree of displacement, mass effect and other index evaluation. [Keywords:] brain injury, hematoma; conservative treatment Our hospital from January 2006 ~ August 2007 were treated 40 cases of traumatic intracranial hematoma in patients with non-surgical treatment is to understand the experience of its preliminary indications. Clinical data 1 General Information The group of 40 patients, 28 males and 12 females, aged 2 months to 73 years. The causes of injury: road traffic injuries in 23 cases, 10 cases of fall injury, combat injury in 7 cases. Clinical manifestations: GCS on admission 13 to 15 minutes and 32 cases (80%), 9 to 12 in 6 cases (15%, “8 points in 2 cases (5%). headache in 38 cases, nausea and vomiting, 30 cases of pathological reflex positive in 4 cases, 1 limb hemiparesis cases of cranial nerve injury in 4 cases. combined 26 cases of skull fractures. CT scan showed: hematoma parts: frontal in 22 cases (55%), including bilateral in 12 patients (30%), temporal lobe in 8 cases (20%), the top leaves in 6 cases (15%), occipital lobe in 2 cases (5%), including cerebellar hemispheres in 2 cases (5%). (2 hematoma type: epidural hematoma in 28 cases (70%), subdural hematoma (10 cases, 25%), intracerebral hematoma in 2 cases (5%. (3 hematoma volume: classification by Kase, a small hematoma (lt;20ml30 cases (75%, medium-sized hematoma (20 ~ 40ml) 8 (20%), large hematoma (gt; 40ml) 2 cases (5%). mass effect: no midline shift in 18 cases (45%), midline shift 0 ~ 5mm 12 (30%), 5 ~ 10mm 8 (15%), 10mm or more 2 cases (10%). 2, treatment of non-surgical trea