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- W3030995280 abstract "Objective To explore the treatment effect of rapid small hole cranio-puncture apparatus for the chronic subdural hematoma (CSDH) drainage,and povide clinical experiences of CSDH treatment.Methods The clinical data of 510 patients of CSDH treated by rapid small hole cranio-puncture apparatus of self-development and autopsy data of one patient died of CSDH were retrospectively studied.All the cases were diagnosed with cerebral angiography,CT or MRI.The parietal tuber or the thickest site of hematoma was usually used as the puncture point,and the length of drill's forepart was designed by the thickness of scalp and skulls.Continuous low position catheter drainage was adopted for 3 to 5 days after surgery.Accurate length restriction of the drill's forepart,puncturing the thickest site of hematoma,and timely cerebral CT examination should be noticed.Results In all patients treated of rapid small hole cranio-puncture,the operating time was only 3 to 5 minutes with unilateral puncture,while bilateral puntcure needed 6 to 8 minutes.The hemorrhage drainage volume was among 60 to 340 ml,mostly 80 to 120 ml,and the drainage duration was among 2 to 8 days,mostly 3 to 5 days.433 patients (84.9％) patients were cured,75 patients got improvement (14.9％),and 2 patient (0.4％) died.The complications included epidural hematoma (2 cases,0.4％) and little intracerebral hematoma induced by the drainage tube inserted into the brain parenchyma incautiously (1 case,0.2％).Conclusions Drainage of CSDH via rapid small hole cranio-puncture apparatus was effective,safe,simple and fast.Key words: Rapid small hole cranio-puncture apparatus ; Drainage ; Hematoma; Subdural ; Chronic" @default.
- W3030995280 created "2020-06-05" @default.
- W3030995280 creator A5028325404 @default.
- W3030995280 date "2014-12-28" @default.
- W3030995280 modified "2023-09-27" @default.
- W3030995280 title "Rapid small hole cranio-puncture apparatus for treatment of chronic subdural hematoma drainage of 510 cases" @default.
- W3030995280 doi "https://doi.org/10.3760/cma.j.issn.1001-2346.2014.12.016" @default.
- W3030995280 hasPublicationYear "2014" @default.
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