TỈ LỆ, ĐẶC ĐIỂM VÀ THÁI ĐỘ XỬ TRÍ CHẤN THƯƠNG SỌ NÃO MÁU TỤ NGOÀI MÀNG CỨNG TẠI BỆNH VIỆN ĐA KHOA TỈNH THÁI BÌNH

Abstract

Objectives: To evaluate the rate, causes, and characteristics of epidural hematoma due to traumatic brain injury treated at Thai Binh General Hospital. Methods: Cross-sectional descriptive study in 75 patients with epidural hematoma due to traumatic brain injury treated at Thai Binh General Hospital between February and September 2020. Results: Percentage of hematoma (14.0%): 75/534 traumatic brain injury patients hospitalized for a period of 8 months. 75 patients, including 64 males (85.3%); 11 females (14.7%);  Median age: 34.2±21.2 years old; Working age accounted for the most 47/75 (62.6%).  Traffic accidents composed the highest (68%) in causes; Clinically: 74/75 patients with minor level (98.7%); CT scan: temporal epidural hematoma (70.7%); frontal (36.0%);  parietal (14.7%). Treatment: Medications: 84.0%; Craniotomy & Evacuation of Extradural Hematoma 16.0%. Good discharge outcomes 98.7%; bad 1 patient; no deaths. Conclusion: The rate of epidural hematoma accounted for (14.0%) in the total number of traumatic brain injury patients. The most common cause was traffic accidents (68%). Men made up the majority (85.3%). The minor clinical severity corresponded to a small intracranial hematoma volume, so the majority of management is medications.