Intracranial hematoma after traumatic hematoma in 23 cases of delayed diagnosis and treatment of.docVIP

 PAGE \* MERGEFORMAT 5 Intracranial hematoma after traumatic hematoma in 23 cases of delayed diagnosis and treatment of [Abstract] Objective To investigate the incidence of delayed intracranial hematoma factors and treatment. Methods 23 cases of delayed traumatic intracranial hematoma were retrospectively analyzed. Results in elderly prone to delayed intracranial hematoma, delayed Recurrent subdural hematoma and epidural were located in the frontal, temporal, mostly leaves. Conclusion Early diagnosis and early treatment is to reduce mortality complications. [Keywords:] brain injury treatment of intracranial hematoma Our department in July 1995 ~ October 2002 after brain injury were treated with delayed surgery in 23 cases of intracranial hematoma, traumatic brain injury over the same period accounted for 3.3% of patients, this paper analyzes 23 cases of delayed intracranial hematoma is designed to improve the treatment success rate, lower mortality, provide a reference. 1 Clinical data 1.1 General Information The group of 23 patients, 16 patients were male and 7 females, aged 18 to 76 years, average 48.6 years old. The causes of injury: 18 cases of traffic accident injury, fall injury in 3 cases, 2 cases of heavy damaged, of which the ground parietooccipital 16 patients. admission GCS3 ~ 5 minutes in 5 cases, 6 to 8 minutes and 11 cases, 9 to 12 points in 7 cases. admission craniotomy after 23 cases, 5 cases of surgical treatment of patients off because of surgery found brain skull tissue pressure increased, brain pulse disappeared, outside the brain tissue swelling, off the side of the skull after mydriasis or postoperative coma and coma gradually deepened and so on, review head CT immediately after reoperation, 18 patients after 1 ~ 48-hour review of head CT showed epidural hematoma in 9 cases, 7 cases of subdural hematoma, intracerebral hematoma in 2 cases, 6 cases of hematoma in the frontal lobe, temporal lobe in 9 cases, 2 cases of pariet