Recuperación de pacientes en postoperatorio de drenaje de hematoma subdural crónico asociado al uso de ácido tranexámico

Abstract

The research presented as techniques to evaluate chronic subdural hematoma drainage associated with the use of tranexamic acid in the recovery of postoperative patients in IAHULA: Mérida, Venezuela. It is a descriptive, cross-sectional and retrospective study. Randomly selected patients of both sexes aged 32 to 87 years old who had a diagnosis of Chronic Subdural Hematoma, unilateral or bilateral. From a total of 22 patients, which will have surgery criteria: Drawing Subdural Hematoma. A group of 11 patients who underwent classic fashion, they continued the surgery with placement of an external drain Jackson-Pratt type. The other group of patients also underwent the classic way, they continued postoperative treatment with tranexamic acid. Both groups were evaluated clinically and tomographic week intervention. As a result it was found that most patients with surgical drainage of chronic subdural hematoma are the right area, in the group A (with A Jackson-Pratt) and group B (tranexamic acid). The present study showed male predominance (99.5%) and 50.0% of hematomas occurred on the right side, followed by bilateral cases (31.8%). The postoperative functional results were satisfactory in 59.1% compared with those obtained in the preoperative Glasgow where over 50% of cases did not exceed the value of the scale 13 scale. The most common symptom was left hemiparesis (45.5%), followed by right hemiparesis (22.7%). Treatment with Tranexamic Acid obtained satisfactory results in 63.6% of cases immediately and in 27.3% at 24 hours; Otherwise the results obtained with the system of Jackson-Pratt, where 54.5% improvement obtained by 24 hours. Similarly the relationship between days of hospitalization and treatment gave significant. These results suggest that treatment with tranexamic acid offers higher cure rate with fewer complications, mortality and sequelae, allowing also reduce hospitalization time, so it should become the technique of choice for initial treatment of chronic subdural hematomas.