KẾT QUẢ ĐIỀU TRỊ CHẤN THƯƠNG SỌ NÃO MÁU TỤ TRONG NÃO TẠI BỆNH VIỆN ĐA KHOA TỈNH THÁI BÌNH

Abstract

Objectives: To assess the rate, clinical symptoms, CT images and treatment outcomes of traumatic intracranial hemorrhage. Methods: Cross-sectional descriptive study carried out in 39 patients with traumatic intracranial hemorrhage treated at the Department of Neurological and Spinal Surgery Department at Thai Binh General Hospital over a period between February and September 2020. Results: 39 patients with intracerebral hemorrhage out of a total of 534 traumatic brain injury patients (7.3%): 28 males (71.8%), 11 females (28.2%). Youngest age: 15; Oldest age: 84; Median age: 51.21 ± 16.1. The major cause was traffic accidents which accounted for the highest (61.5%), domestic accidents made up (33.4%). Headache constituted the highest (76.9%), head wound (38.5%), Scalp hematoma (25.6%), vomit (12.8%), hemiplegia (10.3%). Associated injuries included subdural hematomas equal to subarachnoid hemorrhages which consisted of (15.4%), skull fracture (12.8%), epidural hematoma (5.1%). The majority of intracranial hemorrhage patients received conservative management which added up to (92,3%), surgery (5.1%). Most of the patients discharged from the hospital had good results (92.3%). No death and vegetative state. Conclusion: The rate of intracranial hemorrhage in traumatic brain injury amounted to (7.3%), most of them underwent traffic accidents and in working age. Conservative treatment represented the majority and yielded good outcomes.