Comparison of standard large trauma craniotomy with routine craniotormy in treatment of acute subdural hematoma / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
; (6): 305-308, 2003.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-270307
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To compare the therapeutic effect and indication between standard large trauma craniotomy and routine craniotomy.</p><p><b>METHODS</b>There were 97 patients in the standard large trauma craniotomy group and 110 patients in the routine craniotomy group. The mortality, postoperative ICP (intracranial pressure), ratio of pupil rebound, complication and results of six month follow-up after operation were compared between the two groups.</p><p><b>RESULTS</b>Fifteen patients (15.6%) died in the standard large trauma craniotomy group and 30 (27.7%) in the routine craniotomy group. The postoperative mean ICP was 3.75 kPa+/-1.89 kPa in the standard large trauma craniotomy group and 5.11 kPa+/-1.57 kPa in the routine craniotomy group. The pupil rebound was found in 47 patients (61.0%) in the standard large trauma craniotomy group and in 41 patients (46.1%) in the routine craniotomy group (P<0.01). The rate of complication was lower in the standard large trauma craniotomy group, but no obvious difference in long-term therapeutic effect was found between the two groups.</p><p><b>CONCLUSIONS</b>Standard large trauma craniotomy can attenuate brain hernia and the mortality of the patients with acute subdural hematoma. The incidence of complication can also be decreased. But the long term life quality of the patients can not be improved.</p>
Full text:
Available
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Cardiovascular Disease
/
Cerebrovascular Disease
Database:
WPRIM (Western Pacific)
Main subject:
Quality of Life
/
Reference Standards
/
General Surgery
/
Intracranial Pressure
/
Chi-Square Distribution
/
Acute Disease
/
Follow-Up Studies
/
Mortality
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Treatment Outcome
/
Craniotomy
Type of study:
Observational study
/
Prognostic study
Aspects:
Patient-preference
Limits:
Adolescent
/
Adult
/
Aged
/
Aged, 80 and over
/
Female
/
Humans
/
Male
Language:
English
Journal:
Chinese Journal of Traumatology
Year:
2003
Document type:
Article