Aro Ellinoora, Jääskeläinen Juha E, Reinikainen Matti, Leinonen Ville, Hakala Tapio
Duodecim. 2016;132(9):858-65.
Traditionally, acute evacuations of traumatic intracranial hematomas are performed by neurosurgeons in university hospitals. However, most patients with traumatic brain injury are initially transported to regional hospitals that lack neurosurgical expertise. Thus, a trauma surgeon in a regional hospital may encounter a patient with an expanding hematoma that must be operated without delays. During 2006 to 2014, 14 craniotomies were performed at the North Karelia Central Hospital. Twelve patients were operated for acute traumatic subdural hematoma (ASDH): three patients made good recovery, two were left with severe disability, and seven died. Two patients operated with acute epidural hematoma (EDH) recovered well.
传统上，大学医院的神经外科医生会对创伤性颅内血肿进行紧急清除手术。然而，大多数创伤性脑损伤患者最初会被送往缺乏神经外科专业知识的地区医院。因此，地区医院的创伤外科医生可能会遇到血肿不断扩大且必须立即进行手术的患者。在2006年至2014年期间，北卡累利阿中央医院进行了14例开颅手术。12例患者接受了急性创伤性硬膜下血肿（ASDH）手术：3例患者恢复良好，2例遗留严重残疾，7例死亡。2例接受急性硬膜外血肿（EDH）手术的患者恢复良好。
