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Analysis of epidural hematoma formative reason and its preventive measure after anterior cervical operation / 中国骨伤
China Journal of Orthopaedics and Traumatology ; (12): 197-200, 2013.
Article in Chinese | WPRIM | ID: wpr-344761
ABSTRACT
<p><b>OBJECTIVE</b>To explore the risk factors,preventive measure of epidural hematoma after anterior cervical operation.</p><p><b>METHODS</b>From June 2005 and December 2012, 1,452 patients underwent anterior cervical operation in our hospital. Epidural hematoma occurred in 5 cases after operation and the incidence rate was 0.34%. There were 4 males and 1 female with an average age of 46.4 years (ranged, 33 to 55); 3 cases with cervical myelopathy, 1 case with cervical myelopathy and C5 vertebral angeioma, 1 case with ossification of cervical posterior longitudinal ligament. The occurred time,main clinical situation,duration of symptoms,operative management of epidural hematoma were analyzed.</p><p><b>RESULTS</b>Five patients with epidural hematoma occurred within 24 h; the average interval between onset of symptoms and surgery was 4 h (ranged, 2 to 7). Operative treatment was accomplished in 5 cases by exploration and hematoma evacuation. There was significant improvement in all patients after reoperation. Epidural hematoma occurred again in one patient at 5 h after hematoma evacuation, and reoperation were performed to treat it. All patients were followed up from 6 to18 months with an average of 13.8 months. No recurrence was found.</p><p><b>CONCLUSION</b>Intensive care in 24 h postoperatively is important because of epidural hematoma often occurs in this period,especialy in the period of 6-8 h postoperativey. Clinical findings and MRI can early diagnose epidural hematoma and help treatment. Once it is identified and surgical evacuation would be performed on time.</p>
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Postoperative Complications / General Surgery / Magnetic Resonance Imaging / Cervical Vertebrae / Hematoma, Epidural, Spinal Type of study: Prognostic study Limits: Adult / Female / Humans / Male Language: Chinese Journal: China Journal of Orthopaedics and Traumatology Year: 2013 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Postoperative Complications / General Surgery / Magnetic Resonance Imaging / Cervical Vertebrae / Hematoma, Epidural, Spinal Type of study: Prognostic study Limits: Adult / Female / Humans / Male Language: Chinese Journal: China Journal of Orthopaedics and Traumatology Year: 2013 Type: Article