NHẬN XÉT MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG Ở BỆNH NHÂN MÁU TỤ DƯỚI MÀNG CỨNG CẤP TÍNH DO CHẤN THƯƠNG TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objective: Review of clinical characteristics of patients with acute traumatic subdural hematoma treated at 103 Military Hospital. Subjects and Methods: A retrospective descriptive study was conducted from January 2021 to June 2022, including 49 patients with acute traumatic subdural hematoma who underwent decompressive craniectomy at the Department of Neurosurgery, Military Hospital 103. Clinical characteristics were evaluated. Results: The majority of patients were male (77.6%). Most patients were of working age, ranging from 20 to 60 years old (69.3%). The leading cause was traffic accidents, accounting for 61.2%. The main reason for hospital admission was coma immediately following trauma, observed in 46.9% of cases. The average preoperative Glasgow Coma Scale (GCS) score was 8.5 ± 2.9, with 46.9% of patients scoring below 8. Pupil dilation was a common symptom in acute traumatic subdural hematoma, observed in 40.8% of patients; hemiplegia occurred in 18.4%. Conclusion: The primary cause of acute traumatic subdural hematoma was traffic accidents, with a higher prevalence in males. The main reason for admission was coma immediately after the trauma. Pupil dilation and hemiplegia were common focal neurological signs. A significant proportion of patients had a GCS score below 8 at admission.