AN ANALYSIS OF 332 CASES OF TRAUMATIC INTRACRANIAL HEMATOMA / 解放军医学杂志

ABSTRACT

This paper presents 332 cases of traumatic intracranial hematoma treated at Shenyang command general hospital during the period from October 1980 to October 1987. Among them, 111 cases had brain hernia at the time of admission. The overall mortality was 16.9%, of which 'supra-acute type' (brain hernia occurred within 3 hours after trauma) was 57.1%, acute type 9.3%, and subacute type was zero. The mortality of epidural, subdural, intracerebral, multiple and intraventricular hematoma, were 3.8%, 39.1%. 7.5%, 27.9% and 50%, respectively. The authors believe that CT scan playsa decisive role in the diagnosis of intraventricular, intracerebellar, and basal ganglionic hemaloma, since without CT it can not be diagnosed. In addition, the authors hold that successive observation of patients with CT scans is also of utmost importance, particularly for those with delayed and multiple he-matomas. Furthermore, take every measures to prevent complications and adequate management of brain iniury itself were other two factors in decreasing the mortality of traumatic intracranial hematoma.