Subdural Hematom Tanı ve Tedavi
Özet
Subdural hematom (ЅDΗ), artan kanama boyutu, kafa içi basınç artışı ve beyin herniasyonu nedeniyle geri dönüşü olmayan beyin hasarına ve ölüme neden olabilen nörolojik acildir. Bu hastalarda klinik durumun acil olarak değerlendirilmesi, antitrombotik ilaçların yönetimi ve acil cerrahi ihtiyacın değerlendirilmesi gerekir. Klinik veya radyolojik kötüleşme açısından yakın nörolojik takiple bazı hastalar cerrahi girişim olmadan da izlenebilir. İleri yaş, önceden var olan koagülopati, muayenede ciddi defisitler, büyük SDН hacmi, beyin basısı veya eşlik eden intraparankimal hasar hastalarda mortaliteyi arttırabilir.
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