Efficacy analysis of 33 cases with epidural hematoma treated by brain puncture under CT surveillance

摘要

Aim: To study the clinical value and efficacy of computerized tomography (CT)-monitored microinvasive craniopuncture for traumatic epidural hematoma. Material and 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. Conclusion: 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.