Clinical analysis of standard large trauma craniotomy in treatment of acute subdural hematoma

VernacularTitle:标准大骨瓣开颅术治疗急性外伤性硬膜下血肿疗效分析
Author: Guoqing ZHU ; Hongbin GAO ; Wubin WANG ; Ming LIU
Publication Type:Journal Article
Keywords: Standard large trauma craniotomy; Hematoma,subdural,acute; Craniocerebral injury
From: Chinese Journal of Primary Medicine and Pharmacy 2013;20(17):2619-2621
CountryChina
Language:Chinese
Abstract: Objective To explore the surgical techniques and clinical outcome of standard large trauma craniotomy in the treatment of acute subdural hematoma.Methods The clinical data of 51 cases with acute subdural hematoma,who underwent standard large trauma craniotomy in recent 5 years in our department,were retrospectively analyzed.Results All the patients were followed up for 3 ～ 6 months.10 cases were dead,4 persistent vegetative status,severe disability in 6 cases,midrange disability occurred in 11 cases and 20 cases were good.Postoperative complications included tardive haematoma in 4 cases,traumatic cerebral infarction in 2 cases,subdural collection of fluid in 4 cases,cerebromalacia in depressor area in 2 cases,hydrocephalus in 2 cases,and traumatic epilepsy in 3 cases.Conclusion Standard large trauma craniotomy is an effective approach in the treatment of acute subdural hematoma,due to its advantages such as satisfactory exposure for haemostasis,rapid removal of haematoma and relief of acute intracranial hypertension.