What Is a Chronic Subdural Hematoma?

Chronic subdural hematoma refers to those whose intracranial hemorrhage occurs more than three weeks after injury in the subdural space. When the hematoma increases, it will have a placeholder effect, causing compression of the ventricle and brain stem, and vomiting, disturbance of consciousness, headache, and intracranial Increased pressure is the main cause. CT diagnosis and decisive surgical intervention should be timely. The postoperative results are satisfactory. At present, there is no unified understanding of the source and pathogenesis of hematoma bleeding. Its incidence accounts for about 10% of intracranial hematomas. Hematomas often occur on the frontal-temporal hemisphere convex surface, and the volume of blood can reach 100-300 ml.

Chronic subdural hematoma

Chronic subdural hematoma refers to those whose intracranial hemorrhage occurs more than three weeks after injury in the subdural space. When the hematoma increases, it will have a placeholder effect, causing compression of the ventricle and brain stem, and vomiting, disturbance of consciousness, headache, and intracranial Increased pressure is the main cause. CT diagnosis and decisive surgical intervention should be timely. The postoperative results are satisfactory. At present, there is no unified understanding of the source and pathogenesis of hematoma bleeding. Its incidence accounts for about

1.

Diagnose based on

1. There is often a history of minor or neglected head injuries, and symptoms often appear more than 3 weeks after the injury.

2. Symptoms of chronic intracranial elevation such as

Principles of chronic subdural hematoma treatment

1. Surgical treatment: Skull drilling and closed drainage, infants and young children can be used as anterior condyle drainage.

2. Symptomatic supportive treatment.

Principles of medication for chronic subdural hematoma

1. Symptomatic patients can be treated symptomatically.

2. People with mental disorders are given antipsychotic drugs and those with epilepsy are given antiepileptic drugs.

3. Patients with increased intracranial pressure should be given dehydration and diuretics to reduce intracranial pressure.

4. Infants and young children pay attention to give hemostatic drugs, especially vitamin K.

5. Patients were given appropriate antibiotics to prevent infection after operation.

6. Severe patients strengthen supportive therapy and prevent complications.