Surgical Management of Traumatic Epidural Hematoma in 50 Cases with Dynamic CT Study

Objective:The present study is to introduce the clinical outcome of surgical management of traumatic epidural hamatoma in 50 cases,and the prognostic factors are also analysed.Methods:50 cases suffering from traumatic epidural hematoma were analyzed retrospectively,clinical outcome was evaluated according to Glasgow Outcome Scale(GOS),patients were grouped by age,time interval from head injury to operation,CT scanning at admission,midline shift on CT examination and Glasgow Coma Scale(GCS),Chi-square was rendered to investigate the prognostic factors.Results:Good results in 34 patients,severe impaired in 10 cases,dead in 6 cases.Statistic results demonstrated age(P=0.038),time interval from head injury to operation(P=0.010),CT scanning at admission(P=0.002),midline shift on CT examination(P=0.041)and GCS(P0.001)were all the prognostic factors for the outcome in patients with traumatic epidural hematomas.Conclusion:Great attention should be payed at traumatic epidural hematoma patients on CT scanning at admission,midline shift on CT examination and GCS.Surgical intervention must be performed before complications developed.