BAO Yongwu. Experience in treatment of epidural hematoma by minimally invasive drilling combined with urokinase perfusion drainage[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2016, 46(5): 376-378.
Abstract：Objective: To explore the clinical effect of minimally invasive drilling and urokinase perfusion drainage in the treatment of epidural hematoma. Methods: Twenty-six patients with epidural hematoma in our hospital treated by minimally invasive drilling combined with urokinase perfusion drainage from October. 2013 to July 2015 were retrospectively studied. The puncture point was determine by CT. The maximum diameter of the direction of the hematoma was selected, avoiding vascular function area for minimally invasive drilling and indwelling of drainage tube. Urokinase perfusion drainage was performed postoperatively. Results: The hematoma disappeared after 72 hours of puncture, and the clinical symptoms of headache, vomiting and paralysis caused by epidural hematoma were relieved immediately. No hematoma was found after one months of follow-up. Conclusion: Minimally invasive drilling and urokinase perfusion drainage in the treatment of epidural hematoma trauma, which is simple operation, short operation duration, good effect, quick recovery, less bleeding, low cost, short time of hospitalization and worthy of clinical application.
