MÁU TỤ DƯỚI MÀNG CỨNG CẤP TÍNH: TỈ LỆ, ĐẶC ĐIỂM VÀ KẾT QUẢ ĐIỀU TRỊ

Abstract

Objectives: To evaluate the rates, clinical characteristics, lesions on CT scan and outcomes of treatment of acute subdural hematoma. Methods: A cross-sectional descriptive study was undertaken in 153 cases of acute subdural hematoma treated at the Neurological &Spinal Surgery Department at Thai Binh General Hospital from February to September 2020. Results: 153 patients with acute subdural hematoma out of a total of 534 hospitalized patients, accounting for 28.6%. 117 males (77.8%), females (22.2%).  Youngest age:8; oldest age: 96; medial age: 55.71 ± 19.99. Traffic accidents accounted for (49.7%); domestic accidents (43.8%); minor injuries accounted for 87.6%;  moderate 8.5%, severe: only 3.9%. Nonoperative treatment accounted for 76.5%, hematoma evacuation surgery 22.9%. The discharge outcomes: stable 89.5%, minor sequelae: 5.9%, moderate sequelae: 1.3%. Mortality and vegetative state 3.3%. Conclusion: Rate of acute subdural hematoma is (28.6%). Common in men. The majority of acute subdural hematomas is conservatively treated, with 76.5% of patients in this study achieving good early outcomes. Only a small proportion of patients treated conservatively would deteriorate and require surgery.