Efficacy analysis of 33 cases with epidural hematoma treated by brain puncture under CT surveillance.
OBJECTIVE
To study the clinical value and efficacy of computerized tomography (CT)-monitored microinvasive craniopuncture for traumatic epidural hematoma.


METHODS
Thirty-three cases of traumatic epidural hematoma patients were selected at our hospital. YL-1-type disposable intracranial hematoma smash needle puncture and drainage of hematoma were used under CT monitoring and urokinase was used for intermittent flushing, and the residual blood clot was then drained. The improvement rate, cure rate, precision and accuracy of the puncture, incidence of bleeding, puncture infection rate, average length of stay, clinical efficacy, and long-term follow-up were evaluated.


RESULTS
The improvement rate was 100%, the cure rate was 100% accurate, the precise puncture rate was 100%, the re-bleeding rate was 0%, the local infection rate was 0%, the average length of stay was 7.5 days, and the average medical cost was two thousand U.S. dollars.


CONCLUSIONS
Under CT surveillance, the YL-1-type disposable intracranial hematoma smash puncture needle aspiration in the treatment of traumatic epidural hematoma is a simple, fast, and accurate positioning procedure. Without craniotomy and blood transfusion, the YL-1-type disposable intracranial hematoma smash puncture needle aspiration is a safe and effective operation, but close attention is needed during the operation.
Fourth Affiliated Hospital of China Medical University, Department of Neurosurgery, Shenyang, China.
Xianlin
X
Zhao
Hongzhou
H
Jiang
Guojun
G
Liu
Tingzhong
T
Wang
D000293:Adolescent; D000328:Adult; D000368:Aged; D003399:Craniotomy; D004322:Drainage; D005260:Female; D006407:Hematoma, Epidural, Cranial / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult