Diagnosis And Treatment Of Acute Subdural Hematoma

Purpose To investigate the clinical characteristics and therapeutic strategy of acute subdural hematoma, the clinical outcome and the complication of decompressive craniectomy in the treatment of acute subdural hematoma.Methods A restrospective study was carried out with a total of (94) consecutive ASDH patients who were confirmed through computed tomographic scan and obtained the clinical characteristics by experienced neurosurgeons.15 cases were pure acute subdural hematoma and in the other 79 cases were acute compound subdural hematoma according to CT scan.Results In accordance with the GOS,36 cases had good recovery, 19 cases had moderate disability,17 cases had severe disability and 22 cases dead. Complication:11 cases of cerebral infarction,25 cases of delayed traumatic intracerebral hematoma,9 cases of subdural effusion 4 cases of hydrocephalus,8 cases of epilepsy,4 cases of intracranial infection,5 cases porencephatic malformation,21 cases of Encephalocele,5 cases of brain atrophy.Conclusion Acute subdural hematoma are divided into pure acute subdural hematoma and acute compound subdural hematoma. The most important treatment for pure acute subdural hematom was to diagnose the sourse of bleeding,and acute compound subdural hematoma had poor prognosis than pure acute subdural hematoma since the traumatic severity. Early decranium by large bone flap to treat acute compound subdural hematoma can improve survival rate,reduce the fatality rate and decreased postoperative complications.