What medicine does subacute epidural hematoma take?

summary

What medicine does subacute epidural hematoma take? Subacute epidural hematoma is the epidural hematoma with clinical symptoms and signs in 4 days to 3 weeks after trauma. CT scan showed slightly high, equal or low density area, fusiform. Enhanced CT scan can enhance the inner edge of hematoma, which is helpful to the diagnosis of isodense hematoma.

What medicine does subacute epidural hematoma take?

When the epidural is subjected to mild traumatic violence, the patients with skull base fracture and cerebrospinal fluid leakage will have subacute epidural hematoma because the intracranial pressure is significantly lower than normal. Pseudoaneurysm rupture of middle meningeal artery and its branches due to trauma is also one of the possible causes of subacute epidural hematoma.

This disease is more common in young men, because they are engaged in productive labor and other outdoor activities, and the dura is not closely connected with the skull as women, children and the elderly. This disease often occurs in frontal, parietal, posterior temporal and occipital regions. Because of the slow increase of intracranial pressure, chronic increase of intracranial pressure may appear for a long time, headache, dizziness, nausea, vomiting, etc. may gradually aggravate, delayed diagnosis and treatment may appear disturbance of consciousness, hemiplegia, aphasia, etc.

A clear history of trauma, X-ray plain film to see the fracture line, combined with clinical manifestations can make a preliminary diagnosis. Some patients with unclear traumatic history should be differentiated from chronic subdural hematoma and other intracranial space occupying lesions. Timely head CT, MRI can be diagnosed.

matters needing attention

For the patients with consciousness disorder, surgical treatment should be carried out in time. CT showed thick hematoma wall, enhanced and calcified, bone flap craniotomy was performed to remove hematoma. The medial wall should be slowly stripped from the periphery, hemostasis should be carefully performed, the dura mater should be suspended after the hematoma is removed, and the external rubber strip should be placed for drainage, and the bone flap should be completely retained. Part of subacute hematoma liquefaction is good, puncture hematoma aspiration liquefaction drainage treatment is feasible. Some patients with mild symptoms, clear consciousness and hematoma volume less than 30ml can be treated with non-surgical treatment. During the period of close observation and dynamic CT monitoring, most of them can be completely absorbed in 30-45 days.