Drill drainage for treatment of adults with chronic subdural hematoma (CSDH) 198 cases.docVIP

 PAGE \* MERGEFORMAT 9 Drill drainage for treatment of adults with chronic subdural hematoma (CSDH) 198 cases [Abstract] Objective of adult chronic subdural hematoma (CSDH the clinical features and reduce postoperative complications. Methods hole drainage in the treatment of 198 adult patients with chronic subdural hematoma (CSDH clinical data. Results CT scans can Early diagnosis, drill drainage in adults with chronic subdural hematoma (CSDH) is safe and effective, attention should be paid to the prevention of postoperative complications. [Keywords:] Adult hole drainage of chronic subdural hematoma complications 1 Materials and Methods 1.1 General Information October 1998 ~ February 2010, our department drill drainage treatment of adults with chronic subdural hematoma in 198 cases, 156 cases of male and 42 female, aged 42 to 87 years, mean 68 years .171 case has a clear history of head trauma (86.4%, with a history of traumatic injury on the course at the time of diagnosis to the specific terms, 3 to 4 weeks in 27 cases, 1 to 3 months, 129 cases, 15 cases more than 3 months. symptoms and signs: headache, 110 cases, 21 cases of vomiting, 107 cases with limb weakness. mental or 9 cases of disturbance of consciousness. Associated symptoms: The main manifestations of chronic increased intracranial pressure, neurological dysfunction and psychiatric symptoms. Including dizziness in 78 cases, 29 cases of urinary incontinence, fecal incontinence in 3 cases, 33 cases of seizures. Intraoperative preconscious states: awake were 166 cases 23 cases sleepiness or irritability, light coma, or coma in 9 cases. Pathological reflex: Babinski sign positive for 32 cases of unilateral, bilateral positive in 7 cases. Auxiliary examination: 198 cases were head CT scan, 36 cases in which bilateral hematoma, hematoma in 5 cases showed high-density, isodense in 37 cases, 11 cases low-density, mixed density in 37 cases, have different levels of sid