| Treatment Option of Inevitably Recurrent EDH under DIC Condition |
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Seung Chan Yoo1 , Jeong Gyun Kim2 , Hyun Koo Lee2 , Jin Woo Hur2 , Jong Won Lee2 , Jong Joo Rhee2 |
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1Department of Neurosurgery, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, 2Department of Neurosurgery, Cheongju St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Cheongju, Korea |
| 파종성 혈관 내 응고로 인해 불가피하게 반복되는 경막외 혈종에 대한 치료 사례 |
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유승찬·김정균·이현구·허진우·이종원·이종주 |
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가톨릭대학교 의과대학 여의도성모병원 신경외과학교실1, 청주성모병원 신경외과학교실2 |
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| Abstract |
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A 61-year-old female patient under disseminated intravascular coagulation (DIC) condition was treated for chronic subdural hematoma (SDH) by burr-hole trephination. Acute SDH was newly developed after the surgery. Craniectomy was performed for acute SDH, epidural hematoma (EDH) was developed at this time. Recurrent hematoma formation following surgery was expected. So, we designed one-way heparin irrigation system which administers heparin into the epidural space and drains by wall-suction. The patient was expired by multi-organ failure because of untreated DIC, but we succeeded to have a hematoma free interval. Treatment for recurrent EDH by administering heparin into the epidural space can be considered in that it can provide a hematoma-free interval for recovering from DIC. |
| Key Words:
Subdural hematoma, Epidural hematoma, Disseminated Intravascular Coagulation, Heparin |
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