Analysis of the treatment of 32 patients with acute extradural hematoma and brain hernia

Objective To explore the clinical effect of evacuation of hematoma by way of the combination of microinvasive craniopuncture and craniotomy on patients with acute extradural hematoma and brain hernia.Methods 32 cases with acute extradural hematoma and brain hernia which were hospitalised from 2003.1 to 2007.8 were treated as follows:The acute extradural hematoma was partly drained through microinvasive craniopuncture with YL-1 puncture needle as first aid treatment.Then the hematoma was removed through craniotomy.Results At 6 to 12 month follow-up,Glasgow outcome scale showed that overall mortality dropped(χ 2 =4.50,0.05p0.01)and the rate of favourable outcome increased(χ 2 =9.93,p0.01),in comparison with that of the patients who were given routine removal of hematoma during the period of 1997.1 to 2002.12.Conclusion The combination of microinvasive craniopuncture and craniotomy has good effect on patients with acute extradural hematoma and brain hernia.It can reduce the mortality and improve curative effect.