How to cure hematoma

Well, hematoma is perceived by doctors as a limited accumulation of blood in closed and open injuries of organs and tissues with a break or in other words injury vessels seen as a cavity containing a liquid or clotted blood.

Classifications of hematoma depends upon it’s localization i.e. subserous, subdural, intramuscular, etc. The relationship to the lumen of blood vessel being either throbbing or not pulsating is the state of out coming blood either coiled, infected or festering. The main symptoms of hematoma, located in the subcutaneous tissue and muscles, are as follows: stuck pain, the presence of limited swelling, impaired function of the muscles, changes color from purple-red to yellow-green, often raise the local temperature. When a hematoma of the internal organs to the fore the symptoms of compression of the latter.

Intracerebral hematoma

There is no clear definition of “traumatic Intracerebral hematoma” which currently does reflect the real thing so far because of the continuing evolution of views on the pathogenesis of the process of traumatic hemorrhage or hemorrhagic contusion of the brain. Generally, the diagnosis is being made by computed tomography (CT) of the brain which is enhancing detecting focus of increased density in the parenchyma of the brains towards a patient with traumatic brain injury i.e. many scientists do not include this concept foci less than 1 cm in maximum dimension of it. Foci of hemorrhage is most often detected in brain areas mainly affected during acceleration / deceleration like the poles and the basal surface of the frontal, temporal and occipital lobes. Traumatic hemorrhage is usually carrying out less mass effect than would be expected for a given volume. Also, it has a tendency to a progressive increase in a few days after the injury, which reveal in consecutive control CT. In some cases, delayed hemorrhage develops, in which case it is called “later stage of traumatic hemorrhage”. CT carried out after a few months after the injury, identify minimal changes in the substance of the brain.

Acute traumatic subdural hematoma is reflected more over as blood pools in the space between the inner layer of the dura mater and the arachnoid of the brain. In patients with acute traumatic subdural hematoma is commonly found significantly more primary brain damage than patients epidural hematoma, so the results of treatment of this group of patients is much worse. The same thing occurs if we take a look at chronic subdural hematoma, which usually occurs in older people (average age – 63 years). Less than 50% of them can reveal a history of traumatic brain injury. In 20-25% of cases of chronic subdural hematoma is bilateral.
Epidural hematoma is more often a local accumulation of blood in the space between the inner surface of the skull and the outer layer of the dura mater.

Treatment of hematoma

Treatment of small hematomas are conservative: local cold and compression band, analgesics, and a few days after the injury for the physiotherapy. For large hematomas we require evacuation of liquid blood by puncture with a subsequent imposition of a pressure bandage. In the event of renewed bleeding autopsy showed bruises perstriction or angiorrhaphy. When suppuration hematomas shown its opening and drainage. In uncomplicated hematomas prognosis is usually favorable.

Treatment of intracerebral hematoma in most cases is also conservative with support of vital functions, correction of intracranial pressure in order to maintain it below 25 mm Hg (Mannitol, ventricular drainage, barbiturates, hyperventilation).

The treatment of acute traumatic subdural hematoma in most cases needs urgent surgical intervention like craniotomy and removal of hematoma. Absolute indications for surgery is hematoma thickness greater than 1 cm according to CT scan. Postoperatively, the necessity for intensive therapy with the support of vital functions and control the level of blood pressure.