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[Peculiarities of clinical course and approaches to surgical treatment of patients with epidural hematoma in isolated cranio-cerebral trauma].

Peculiarities of clinical course and approaches to surgical treatment were studied in patients, suffering isolated cranio-cerebral trauma (CCT); new approaches were elaborated, permitting to improve outcome of epidural hematoma (EG) in surgical treatment of the patients. For isolated CCT 188 patients there were operated on, EG was revealed in 83 (44.1%) of them. The majority of patients were admitted to the hospital in subcompensated stage of clinical course of CCT. EG occurrs in the injured persons in indented cranial fracture, it is diagnosed by KT of the brain. Unfavorable impact on the surgical treatment results causes admittance to the hospital in a rude decompensation stage, in case of preoperative treatment absence, while diagnostic mistake committ- ment, late conduction of the operation, and admittance to the hospital more than 1 day after the trauma. The intensive therapy conduction postoperatively permits to reduce significantly the rate of cerebral and extracerebral complications.