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  • Công bố khoa học và công nghệ Việt Nam

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Y học lâm sàng

Dương Đại Hà, Trần Trung Dũng(1)

Đánh giá kết quả điều trị phẫu thuật máu tụ dưới màng cứng mạn tính tại bệnh viện Việt Đức

Evaluate the clinical criteria, the imaging features, diagnosed and surgical treatment of subdural chronic hematoma in Viet Duc Hospital

Y học Việt Nam

2014

2

158-162

1859-1868

Subdural chronic hematoma is a miscellaneous liquids capsules located in the epidural cavity, appeared from the third week after injury. Objective: Evaluate the clinical criteria, the imaging features, diagnosed and surgical treatment. Materials and methods: the prospective descriptive study with subdural chronic hematoma patients at Viet Duc hospital from 1/2013 to 6/2013.The critical criteria: age, sex, cause of accident, Results: 70 patients diagnosed and underwent surgical treatment during 6 months. The common clinical symptoms: headaches 100 percent, hemiplegia 61.4 percent, vomiting 41.4 percent, 44.3 percent psychological impaired. The most common cause: trauma 88.6 percent. The patient history showed: 30 percent hypertension, 14,3 percent diabetes, 3 percent anticoagulant drug. CT scan imaging showed 81.4 percent, hypodensity 61.4 percent. Surgical: hematoma drainage 94.3 percent.good outcome with 88.5 percent complete recovery. Conclusion: single hole trepanation techniques for subdural chronic hematoma were the good choice and had the good outcome.

TTKHCNQG, CVv 46