Clinical analysis of progressive epidural hematoma during the operation of brain traumatic injury
10.3760/cma.j.issn.1008-6706.2012.15.006
- VernacularTitle:脑外伤术中并发进展性硬膜外血肿临床分析
- Author:
Minghao SONG
;
Zhixiang LI
;
Zhong TANG
;
Wenbin MA
;
Rui WEN
;
Jiangsheng CHENG
- Publication Type:Journal Article
- Keywords:
Trauma;
Hematoma;
Epidural
- From:
Chinese Journal of Primary Medicine and Pharmacy
2012;19(15):2252-2253
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the cause of acute brain swelling,brain encephalocele in brain traumatic injury craniotomy,and the reason,diagnosis and treatment methods of progressive epidural hematoma.Methods The clinical data of 381 patients with brain traumatic injury craniotomy were retrospetively analyzed.Of 318 patients,27cases had progressive epidural hematoma during operation.Results 9 cases died because of functional failure of brain stem,the other 18 cases were all clinically cured.Conclusion If acute brain swelling and encephalocele occured during operation,the cause should be found quickly,especially when there was skull fracture or epidural hematoma on the contralateral brain,the head CT and operation should be taken immediately,and the bulging brain tissue should not be removed blindly,and the skull should not be forced to close,otherwise the prognosis maybe poor.
