THE INFLUENCE OF ALCOHOL INTOXICATION ON THE SURVIVAL PERIOD IN SUBDURAL HEMORRHAGE

Abstract

Aims. to study the influence of alcohol intoxication on the survival period in subdural hemorrhage. Materials and methods. A retrospective study was conducted. 42 deaths from subdural hematoma were included, of which two groups were distinguished - those who died before medical care (n=20) and those who received medical care in a hospital (n=22). The circumstances of the injury, the amount of blood spilled under the dura mater, the presence and degree of alcohol intoxication were established, the level of consciousness on the Glasgow coma scale was noted. A histological examination of a subdural hematoma was performed to determine its prescription. Results. Street injuries and traffic accidents are the most common causes of subdural hematoma. In 52.3% of cases, hematomas are combined with skull fractures, in 73.8% with leptomeningeal hemorrhages, in 81% of cases with bruises and in 88% with cerebral edema. Unilateral subdural hematoma is more common than bilateral. The fact of alcoholic intoxication was recorded in most of the victims, while the concentration of ethyl alcohol in the blood of persons who died before medical care was 2 times higher. Significant correlations were established between the degree of impaired consciousness according to SHG and the concentration of ethyl alcohol in the blood (r = -0,701, p0,05), the volume of SDH (r= -0,526, p0,05) and the period of hospitalization (r=0,559, p0,05). Conclusion. Persons with subdural hemorrhage in a state of high degree of alcohol intoxication, as a rule, die before medical care is provided to them. At the same time, if help was provided, the outcome is most often unfavorable, accompanied by a shorter survival period even in the presence of a small hematoma. The histological method is currently the most optimal in terms of determining the prescription of subdural hematoma.