Treatment experience of the acute traumatic intracranial hematoma combined with Herniation

VernacularTitle:急性外伤性颅内血肿合并脑疝的救治体会
Author: Hai ZHONG ; Guohua YANG ; Jiangbo DENG ; Juan XIE ; Duanlian ZHANG ; Shan ZHONG
Publication Type:Journal Article
Keywords: Intracranial hematoma; Herniation; Hematoma clear; Prognosis
From: Clinical Medicine of China 2009;25(9):900-901
CountryChina
Language:Chinese
Abstract: Objective To investigate the key procedures of the acute traumatic intracranial hematoma com-bined with herniation and the prognosis factors. Methods 45 cases of acute traumatic intraeranial hematoma com-bined with herniation from February 1997 to June 2008 were admitted in our hospital. Timely establishment of effec-tive ventilation and circulation and pre-operative examination were done to all the eases. Craniotomy hematoma clean was performed in 8 cases, hematoma clean and decompressive craniectomy was canducted in 33 cases and 4 cases were not operatively treated. Results 26 eases (58%) were cured,and 19 cases (42%) died. Conclusions The key procedures of the acute tranmatie intraeranial hematoma combined with herniation is timely establishment of ef-fective ventilation and circulation, and that is effective method to prevent secondary brain injury ; removing hematoma as soon as possible,and lifting the oppression of the brain stem are the keys to rescue patients. Prognosis is closely related to the degree of primary brain injury, eonseious level before operation and the time of herniation appearance.