KẾT QUẢ ĐIỀU TRỊ MÁU TỤ DƯỚI MÀNG CỨNG CẤP TÍNH Ở NGƯỜI CAO TUỔI TẠI BỆNH VIỆN ĐA KHOA TỈNH THÁI BÌNH

Abstract

Objectives: To access clinical characteristics, CT images and management of acute subdural hematoma in the elderly. Methods: Cross-sectional descriptive study was conducted in 76 elderly patients with acute subdural hematomas treated at Thai Binh General Hospital between February and September 2020. Results: 76 elderly patients with acute traumatic subdural hematoma, out of a total of 534 traumatic brain injury patients (14.2%) included: 53 males (69.7%), 23 females, accounting for (30,3%);  Median age: 71.7 ± 8.8 (from 60 to 96 years of age).  Causes: Falls in the elderly accounted for the highest rate of (51.3%); 31 patients incurred traffic accidents,   constituting (40.8%).  Common symptoms: headache (86.8%), vomiting (23.7%), scalp hematoma (23.7%), head wound (21.1%), hemiplegia (9.2%). The majority of cases were mild (86.8%), then moderate (9.2%), and severe (4.0%).  Nonoperative treatment made up the majority (73.7%), surgeries amounted to (22.4%). Good hospital discharge results were (84.2%), fair (7.9%), moderate (2.6%), vegetative state and death (5.2%).  Conclusion: Acute subdural hematoma in the elderly due to trauma added up to the rate of (14.2%). Falls were responsible for the highest in causes, nonsurgical treatment was the main therapy.  Bad outcomes were compromised of (5.2%).