Early diagnosis and treatment analysis of contralateral progressive epidural hematoma after acute subdural hematoma removal and decompressive craniectomy
CHEN Bin YANG Shao-feng LI Yong-sheng LUO Li-lan
Department of Neurosurgery,the Second Affiliated Hospital of Shantou University Medical College,Guangdong Province,Shantou 515041,China
Abstract:[Abstract]Objective To investigate the effect of early diagnosis and treatment of contralateral progressive epidural hematoma after acute subdural hematoma removal and decompressive craniectomy.Methods The clinical data of 40 patients with contralateral progressive epidural hematoma after acute subdural hematoma clearance and decompressive craniectomy treated in our hospital from March 2014 to February 2017 were retrospectively analyzed.According to the different treatment methods,they were divided into control group (conservative treatment)and observation group(hematoma removal),20 cases in each group.The time and location of diagnosis,prognosis and hospitalization time were compared between the two groups.Results There was no significant difference between the two groups in the time and the proportion of diagnosis location(P>0.05).The recovery rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The hospitalization time of the observation group was significantly shorter than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Early diagnosis of contralateral progressive epidural hematoma after acute subdural hematoma clearance and decompressive craniectomy and selection of effective treatment is the key to improving the prognosis of patients.
陈斌;杨少锋;李永生;罗丽兰. 急性硬膜下血肿清除+去骨瓣减压术后对侧进展性硬膜外血肿的早期诊治分析[J]. 中国当代医药, 2019, 26(7): 92-94.
CHEN Bin YANG Shao-feng LI Yong-sheng LUO Li-lan. Early diagnosis and treatment analysis of contralateral progressive epidural hematoma after acute subdural hematoma removal and decompressive craniectomy. 中国当代医药, 2019, 26(7): 92-94.
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