After acute subdural hematoma of delayed diagnosis and treatment of hematoma.docVIP

 PAGE \* MERGEFORMAT 9 After acute subdural hematoma of delayed diagnosis and treatment of hematoma Of: gold bell, yellow snow, beads, Liya Song [Keywords:] acute disease, neurological surgery, postoperative complications, hematoma, subdural, decompression, surgical, hematoma Traumatic acute subdural hematoma is a common clinical disease of brain injury, often require surgical treatment. The author departments were treated in the past 5 years, patients with acute subdural hematoma 286 cases, which occurred in 51 cases of delayed hematoma, and is analyzed reported below. 1 Clinical data 1.1 General Information 286 cases, male 197, female 89 cases, age (33 + -2.32 years (8 to 68 years, CT showed subdural hematoma were. Injury to admission time is 2 ~ 12 h, an average of 5 h. Preoperative GCS score 3 to 7 points, bilateral mydriasis were 80 cases, the side of the mydriasis were 148 cases, 58 cases of normal pupil. which with simple subdural hematoma, 69 cases occurred in 3 cases of delayed hematoma , line plus subdural hematoma decompression craniectomy 217 cases, 48 cases occurred delayed hematoma. Data delayed hematoma 1.2 Delayed hematoma in 51 cases, males in 35 cases, 16 females, age (34 + -1.86 years (13 to 65 years old. Cause of injury: traffic accident in 29 cases, 10 cases of combat injuries, fall injuries in 12 cases. Surgery before the GCS score 3 to 7 points, bilateral mydriasis in 20 cases, the side of the mydriasis in 28 cases, 3 patients with normal pupil. head CT showed a subdural hematoma, midline shift to varying degrees, with obvious web 37 cases of hemorrhage under the membrane, there was 31 cases of cerebral contusion, acute diffuse brain swelling in 3 cases, 28 cases of skull fractures combined. delayed hematoma were 21 cases of supratentorial epidural hematoma, contralateral hard membrane hematoma in 9 cases, the upper and lower saddle type tentorial epidural hematoma in 12 cases, 9 cases of ipsilateral intracerebral