The authors present 31 cases of subdural hematoma from 2/1991 to 8/1996 at surgical department in Frienship Hospital. Ages are from 51 to 82 years old, treatment is surgical. The results are good in 26 cases (84%) nerve sequelae in 4 cases (10%), mortality in 2 cases (6%). Early diagnosis is a favorable prognostic factor.
Hematoma, Subdural, Chronic

Background: in head trauma, increased intracranial pressure and cerebral edema are the main factors causing death. One of the most effectiveness anti-cerebral edema measures is to ensure ventilation, mechanical ventilation is best. But in practical conditions of Vietnam, with a very large number of patients, number of ventilator is insufficient for patients, so tracheostomy is a relatively simple method but has saved the lives of many patients. Objectives: to assess the situation of respiratory tract infections in patients with tracheostomy due to head trauma; to study the common bacterial species and antibiotic response in the treatment of these infections. Subjectives and Method: a prospective descriptive study on all patients with head trauma had been tracheostomy, treated and monitored at department of neurosurgery, Viet Duc Hospital from November 25, 2005 to April 25 in 2006. Results: 80% of patients infected with multiple bacteria. The rate of respiratory infection after 3 days of tracheostomy was 90%. The common bacterial species were gram (-) (82.58%), highest P.aeruginosa (34.04%), followed by other intestinal Gram (-). The species of Gram (+) only accounted for 17.02%, including staphylococcus (6.38%). Results of Antibiotics Sensitivity Test showed that 2nd regimen (Augmentin + aerosol including: ampicinllin and Nebule) was effective treatment. Conclussions: the ability of bacterial infecting to respiratory tract was very soon. The rate of respiratory infection after 3 days of tracheostomy was very high. The common bacterial species were gram (-). Antibiotic combination was high effective regimen.
Respiratory Tract Infections ; Craniocerebral Trauma ; Tracheostomy ;