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Chronic subdural hematoma clinical observation of two surgical methods
Of: Wei Zhu Jian, Zheng Zhijun, Yue Yi, Wang Ruifeng, Gao Kai
[Abstract] Objective To observe the two surgical methods of chronic subdural hematoma effects and complications. Methods to chronic subdural hematoma admitted to hospital were randomly divided into two groups, surgical cavity with a group of the subdural hematoma communication, the other group only in the hematoma cavity to wash and drainage, evacuation of hematoma and complications statistical occurrence. The results are two ways to clear the effect of the final hematoma was no significant difference, but subdural communicator of low intracranial pressure , a large number of cerebrospinal fluid loss, fever and other complications was significantly higher than the other group. Conclusion hole drainage of chronic subdural hematoma surgery, may certainly subdural hematoma cavity and full communication, simply hematoma cavity Irrigation Drainage, you can receive a satisfactory surgical results and reduce complications.
[Keywords:] chronic subdural hematoma; hematoma capsule; subdural
Chronic subdural hematoma is a common neurosurgical clinical disease, clinical general surgical drainage drilling methods used to treatment, surgical results were satisfactory. This simple operation, but surgery is to subdural hematoma cavity and full communication, the literature rarely reported. now in our hospital from 2002 to 2009 100 cases of surgical treatment in patients with chronic subdural hematoma summarized as follows.
1 Clinical data
1.1 General information on 100 patients in this group of 58 males and 42 females; aged 35 to 88 years old, average 66.3 years old. Randomly divided into A, B groups, two groups of age, gender, etc. There was no significant difference. Are on the screen hematoma, hematoma volume of 50 ~ 150 ml. in varying degrees of preoperative headache, fatigue, mental decline, physical
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