Minimally invasive puncture and drainage for chronic subdural hematoma.doc

 PAGE \* MERGEFORMAT 7 Minimally invasive puncture and drainage for chronic subdural hematoma Of: Zhang Yan, Tung Benguela, Zhonggui Xia, Jia Yuzhu [Abstract] Objective To investigate the treatment of minimally invasive puncture and drainage of chronic subdural hematoma. Methods using the YL-1 type of intracranial hematoma smash needle time, 48 cases of chronic subdural hematoma in patients with minimally invasive puncture and drainage. Results 48 cases of chronic subdural hematoma were cured by minimally invasive, one in 47 cases cured, 1 case of removal of the needle tension pneumocephalus after cranial, was found in time, from the original insertion puncture needle puncture was cured. No recurrence complications such as intracranial infection does not appear. hematoma evacuation time is 2 to 4 days. Conclusion Minimally invasive puncture and drainage for chronic subdural hematoma satisfactory, and its simple operation, less complications and is worthy of promotion. [Keywords:] chronic subdural hematoma, minimally invasive puncture and drainage Our hospital from January 2003 to October 2008, 48 cases of chronic subdural hematoma in patients with minimally invasive puncture and drainage, and achieved satisfactory results, are as follows. 1 Materials and Methods 1.1 General information in 48 patients, 42 males and 6 females, aged 41 to 88 years, average 69.2 years old. Have a clear history of trauma in 41 cases, 7 cases of unknown history. Manifested as headache, dizziness in 39 cases, unilateral limb 33 cases of weakness or paralysis, vomiting in 14 cases, intelligence, mental disorders in 7 cases, 5 cases of lethargy, vague language in 2 cases, patients had a coma. All the patients were diagnosed by CT, CT examination hematoma volume (calculated by multiple fields 80 140 ml, an average of 104.6 ml. the left side in 27 cases, the right side in 15 cases, bilateral in 6 cases. GCS score were 13 to 15 minutes. 1.2 Treatment by CT slice locati