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KMID : 0359819960250010111
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Journal of Korean Neurosurgical Society
1996 Volume.25 No. 1 p.111 ~ p.118
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Acute Subdural Hematoma: An Andlysis of 244 Operated Cases
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장호석
이영배/정찬/이규춘/박용석/목진호
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Abstract
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This study is a retrospective clinical analysis of two hundred fourty-four consecutive cases of acute subdural hematoma which were confirmed by operation during the last five years at the Department of Neurosurgery of the Dong-guk University
Hospital.
The authors have attempted. through this analysis to identify the factors affecting the outcome of acure subdural hematoma. A favorable outcome occurred in 40%. and an unfavorable outcome in 21% of patients at the time of discharge whilea death
ocurred
in 39% of the cases.
We have concluded that initial GCS. pupillary status. systolic arterial blood pressure. FDP vaules. presence or absence of skull fracture. IICP findings on brain CT. hematoma amount. and associated intracranial lesions are all prognostic factors.
although the timing of operation did not reflect a significant difference in the outcome. however the sooner the intracranial hematoma lesion is evacuated. the better the outcome will be.
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KEYWORD
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