Acute traumatic intracranial hematoma combined treatment of 168 cases of brain herniation.docVIP

 PAGE \* MERGEFORMAT 8 Acute traumatic intracranial hematoma combined treatment of 168 cases of brain herniation [Abstract] Objective To summarize the acute traumatic brain herniation in the treatment of intracranial hematoma combined with the experience of mortality and disability in practical ways. Methods Retrospective analysis of Icheon City People’s Hospital from January 2000 to June 2008 where the 168 cases of acute traumatic intracranial hematoma combined with clinical data of patients with brain herniation. Results 168 patients underwent surgery, of which 56 cases of subdural hematoma, epidural hematoma in 90 cases, 22 cases of intracranial hematoma mixed. hematoma volume In the 40 ~ 160 ml. according to the standard GOS good recovery of 96 cases, moderate disability in 12 cases, 8 cases were re-disabled, non-plant survival, 52 patients died. good recovery rate of 57.1%, 11.9% disability rate, mortality rate 31.0%. Conclusion combination of acute traumatic intracranial hematoma after the onset of brain herniation in patients with early decompressive craniectomy should increase intracranial hematoma, while controlling brain edema, to prevent pulmonary infection and multiple organ failure, reduce mortality and improve survival. [Keywords:] acute intracranial hematoma; hernia; Treatment Traumatic intracranial hematoma after head injury is a common pathology, brain herniation is the most severe traumatic intracranial complications if not treated in most of the poor prognosis. Icheon City People’s Hospital in January 2000 to 2008 6 months were treated with acute traumatic intracranial hematoma combined with 168 cases of brain herniation are reported as follows on its treatment. 1 Materials and Methods 1.1 General information on this group of 168 cases, 106 cases of male and female 62 cases; aged 6 to 78 years, mean 42.5 years, male to female ratio 1.71:1. Cause of injury: traffic accident in 115 cases (68.5%), fall injury in 22 cases (13.1 %),