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首页> 外文期刊>The Internet Journal of Neurology >Conservative Management of Extradural Hematoma. A Report of five cases
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Conservative Management of Extradural Hematoma. A Report of five cases

机译：硬膜外血肿的保守治疗。五例报告

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Extradural hematoma (EDH) forms 0.5%1 of all head injuries. In selected patients conservative management may be a feasible option. We report 5 cases which were managed conservatively without neurological sequele. All patients were males between 18-30 (mean 23.4) years; location was frontal or parietal and volume of EDH between 9-23(mean 17.3) mL. However only patients with GCS 15/15 were considered for conservative management. Introduction Extradural Hematoma (EDH) forms 0.5% of all head injuries.1 Conventionally urgent evacuation is the accepted mode of management .2 With the routine use of Computer Tomogram(CT) for management of head injury patients , nonoperative management is being used more often in selected patients .1234 Five cases of EDH which were managed conservatively and discharged without neurological sequele, are reported here. The common factors amongst these cases have also been enumerated. Materials and method Patients having a traumatic EDH with a Glasgow coma Score (GCS) of 15/15 were included in the study. Other inclusion criteria were – Volume less than 25mL (as calculated by Peterson and Esperson equation), 5 absence of midline shift or mass effect and no other lesion on CT scan. Infratentorial EDH was excluded. All patients were monitored in a neurosurgical Intensive care unit. Specifically GCS, pulse, blood pressure, pupils were observed. The study did not interfere with the set neurosurgical protocols for head injury management. Results Out of 6 patients included one patient became drowsy and had to be operated. Five patients were successfully managed conservatively. Mode of injury was road traffic accident in all cases .A summary of the cases is shown in table 1 .All patients were males in the age group 18-30 years (mean age 23.4 years), Location was in the parietal region in 3 cases; frontal in two, The volume of EDH ranged from 9mL – 23mL (mean 17.3mL).At no point of time did any of the five case show any signs of raised intracranial pressure. Immediate neurosurgical care was available at all times.
机译：硬膜外血肿（EDH）占所有头部受伤的0.5％1。在选定的患者中，保守治疗可能是可行的选择。我们报告了5例保守治疗而无神经后遗症的病例。所有患者均为18至30岁（平均23.4岁）之间的男性;位置是额叶或顶叶，EDH量在9-23（平均17.3）毫升之间。但是，只有GCS 15/15的患者才考虑进行保守治疗。引言硬膜外血肿（EDH）占所有头部受伤的0.5％。1传统上，紧急疏散是公认的管理方式。2由于常规使用计算机断层扫描（CT）来管理头部受伤患者，非手术治疗被越来越多地使用在某些患者中.1234报告了5例EDH保守治疗并出院而无神经后遗症。这些案例中的共同因素也已被列举。材料和方法本研究包括格拉斯哥昏迷评分（GCS）为15/15的EDH创伤患者。其他入选标准为–体积小于25mL（根据Peterson和Esperson方程计算），5无中线移位或质量效应，CT扫描无其他病变。肾下EDH被排除。所有患者均在神经外科重症监护室接受监测。具体地，观察到GCS，脉搏，血压，瞳孔。该研究没有干扰针对头部损伤管理的既定神经外科手术方案。结果6例患者中有1例昏昏欲睡，必须进行手术。保守治疗5例。所有病例的伤害方式均为道路交通事故。病例总结见表1。所有患者均为年龄在18-30岁（平均年龄23.4岁）的男性，位置在顶区3例。 ;额叶分为两部分，EDH的范围为9mL – 23mL（平均17.3mL）。五例病例中的任何时间均未显示任何颅内压升高的迹象。任何时候都可以立即进行神经外科护理。

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