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Emergency burr hole drainage decompression to treat cerebral hernia leaded by traumatic intracranial hematoma

Xie Jingcheng, Shan Hongkuan, Song Ming,et al. Department of Neurosugery, The Third Hospital, Beijing Medical University, Beijing 100083  
Objective To evaluate the effects of emergency decompression by burr hole drainage to treat cerebral hernia leaded by traumatic intracranial hematoma.Methods 82 cases with cerebral hernia induced by tramatic intracranial hematoma were emmergency treatment by this operation since 1992 were reported, including epidural hematoma in 45 cases (45/82),subdural hematoma in 32 cases (32/82),intracerebral hematoma in 3 cases (3/82),posterior cranial fossa hematoma in 2 cases (2/82). Results All cases have hematic liquid disgorging post operation, the outcome divided into 4 groups according to the pupils and the state of consciousness of the patients,Group 1∶38 cases (38/82), the state of consciousness improved, the dilated pupils of affected lateral shrinked, the brain pulsation was occurrence. Group 2:32 cases (32/82), the state of consciousness had not improved, the dilated pupils of affected lateral shrinked, the brain pulsation was occurrence. Group 3:11 cases (11/82), the state of consciousness and the dilated pupils of affected lateral had not change. Group 4:1case (1/82), the state of consciousness was deterioration, the dilated pupil continually dilating. Conclusion The decompression timing of cerebral hernia is an important factor influencing mortality of traumatic intracranial hematoma. The method we present in this paper is simple and efficient. That has be of great practical value. [
【CateGory Index】: R651.15
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