First aid measures for epidural hematoma

For the emergency rescue of especially acute epidural hematoma with high intracranial pressure and life-threatening conditions, it is feasible to drill and puncture to remove epidural hematoma, and to discharge part of liquid hematoma by conical hole or drilling first. The indications are relatively stable condition, blood loss of about 30-50ml, clear location by CT examination, midline displacement of more than 0.5cm, no continuous bleeding. Methods Conical holes or drilling holes were made at the thickest part of the hematoma as shown by CT, and then suction tube was inserted or crushed suction tube with twisted silk was put in. Part of the blood was drained and then injected with urokinase, or urokinase plus hyalurinase to dissolve the remaining blood clots, repeated for several times. Catheter drainage was kept for 3-6 days until the hematoma had been drained to a certain extent in CT examination. In the treatment of acute epidural hematoma by puncture, the changes of the condition should be closely observed and CT should be reviewed in time. If the hematoma is reduced by less than 1/3 or the symptoms are not significantly alleviated after aspiration and initial liquefaction, bone flap craniotomy should be used to remove the hematoma in time.

This kind of operation is simple and convenient, is beneficial to save the patient's life quickly, and is used in emergency

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