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Effectiveness of Standard Large Trauma Craniotomy for Hematoma Removal in Treating Unilateral Brain Swelling following Sylvian Fissure Damage of Severe Brain Injury

Jia Zhang

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Abstract

Objective To explore the effectiveness of standard large trauma craniotomy for hematoma removal in treating unilateral brain swelling following sylvian fissure damage of severe brain injury.Methods Totally 57 patients with severe brain injury and sylvian fissure damage with unilateral brain welling were randomly divided into observation group(n=32;received standard large trauma craniotomy for hematoma removal)and control group(n=25;received conventional large trauma craniotomy for hematoma removal).GCS scores,intracranial pressure(ICP),cerebral edema volume,midline shift,and survival rate were compared between these two groups.Results The 3-day and 7-day GCS scores were significantly higher and the the ICP,cerebral edema volume,and midline shift were significantly lower in the observation group than in control group(all P0.05).The 1-year survival rate was 75% in the observation group,which was significantly higher than that(48%)in control group(χ2=4.39,P0.05).Conclusion The standard large trauma craniotomy for hematoma removal can effectively improve the prognosis and decrease the case-fatality rate in patients with unilateral brain swelling following sylvian fissure damage of severe brain injury.

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Objective To explore the effectiveness of standard large trauma craniotomy for hematoma removal in treating unilateral brain swelling following sylvian fissure damage of severe brain injury.Methods Totally 57 patients with severe brain injury and sylvian fissure damage with unilateral brain welling were randomly divided into observation group(n=32;received standard large trauma craniotomy for hematoma removal)and control group(n=25;received conventional large trauma craniotomy for hematoma removal).GCS scores,intracranial pressure(ICP),cerebral edema volume,midline shift,and survival rate were compared between these two groups.Results The 3-day and 7-day GCS scores were significantly higher and the the ICP,cerebral edema volume,and midline shift were significantly lower in the observation group than in control group(all P0.05).The 1-year survival rate was 75% in the observation group,which was significantly higher than that(48%)in control group(χ2=4.39,P0.05).Conclusion The standard large trauma craniotomy for hematoma removal can effectively improve the prognosis and decrease the case-fatality rate in patients with unilateral brain swelling following sylvian fissure damage of severe brain injury.

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Available abstract

Objective To explore the effectiveness of standard large trauma craniotomy for hematoma removal in treating unilateral brain swelling following sylvian fissure damage of severe brain injury.Methods Totally 57 patients with severe brain injury and sylvian fissure damage with unilateral brain welling were randomly divided into observation group(n=32;received standard large trauma craniotomy for hematoma removal)and control group(n=25;received conventional large trauma craniotomy for hematoma removal).GCS scores,intracranial pressure(ICP),cerebral edema volume,midline shift,and survival rate were compared between these two groups.Results The 3-day and 7-day GCS scores were significantly higher and the the ICP,cerebral edema volume,and midline shift were significantly lower in the observation group than in control group(all P0.05).The 1-year survival rate was 75% in the observation group,which was significantly higher than that(48%)in control group(χ2=4.39,P0.05).Conclusion The standard large trauma craniotomy for hematoma removal can effectively improve the prognosis and decrease the case-fatality rate in patients with unilateral brain swelling following sylvian fissure damage of severe brain injury.

Key concepts: Medicine, Craniotomy, Hematoma, Midline shift, Anesthesia, Intracranial pressure, Edema, Brain edema

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Effectiveness of Standard Large Trauma Craniotomy for Hematoma Removal in Treating Unilateral Brain Swelling following Sylvian Fissure Damage of Severe Brain Injury — Research Paper | ScholarLens