KẾT QUẢ SỚM ĐIỀU TRỊ PHẪU THUẬT MÁU TỤ NGOÀI MÀNG CỨNG TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

Objectives: Study on injury characteristics and evaluation of early outcomes of surgical treatment for epidural hematoma at Can Tho Central General Hospital.

Materials and methods: A combined retrospective and prospective descriptive study was conducted on 73 patients who underwent surgery for acute traumatic epidural hematoma at Can Tho Central General Hospital from April 2023 to April 2024.

Results: The mean age was 35.97 ± 14.9 years (range: 16 - 94). Males accounted for the majority at 82.2%. The primary cause was traffic accidents (80.8%). The most frequent hematoma location was the temporal region (37.0%). 93.2% of patients underwent surgery within 24 hours post-injury. Immediate skull flap replacement was performed in 82.2% of cases. Postoperative improvement in the Glasgow Coma Scale (GCS) score was observed in 91.8% of patients. Postoperative complications included cerebral edema (16.4%) and infection (6.9%). Early treatment outcomes were rated as good in 65.8% and fair in 6.8% of cases.

Conclusion: EDH associated with skull fractures accounted for a high percentage; most cases presented with a single hematoma, predominantly located in the temporal lobe. A midline shift of 5–10 mm caused by the hematoma was the most common finding. Surgical treatment for epidural hematoma at Can Tho Central General Hospital yields favorable early results, with the majority of outcomes being good or fair. Craniotomy for hematoma evacuation, hemostasis, and immediate bone flap replacement is the preferred method, demonstrating high therapeutic efficacy.