Introduction: epidural hematoma (EDH) is an event that can result in mortality and morbidity. Understanding it is critical to a fast diagnosis that enables successful management. In the perspective, this article aim to analyze the physiopathology of epidural hematoma. Specifically, the proposal develops a survey on the literature that covers the topic of epidural hematoma, to update and review in case reports the neurological damage and to seek the new concepts relative to the surgical practice, using the method of bibliographic study. Besides to bring some epidemiological data about this theme in Brazil in recent years. The results showed that the risks involved in the occurrence of an EDH go far beyond physical impacts, tumor lesions and infections, extending to cases of hemorrhage due to the use of drugs. Based on the DataSUS, there are no significant variations in hospitalizations due to intracranial hemorrhage or intracranial trauma in recent years. For treatment, minimally invasive surgery is one of the best alternatives to treat patients with EDH due to small incisions, reduced surgical time, reduced risk of anesthesia and avoid craniotomy. It is concluded that epidural hematoma requires an early diagnosis so that surgical intervention prevents other avoidable complications from occurring. Besides that, the public health system needs to have adequate structure, effective prevention strategies and improved EDH care.
Grande -FCM CG. Graduação em Medicina. RESUMO Introdução: A Doença de Chagas (DC) é uma das enfermidades mais negligenciadas mundialmente. Estima-se que 5,7 milhões de pessoas estejam infectadas por DC Objetivo: Analisar a epidemiologia da DC e sugerir um perfil de paciente com maior risco para evoluir com o óbito. Método: O artigo apresenta uma revisão bibliográfica na qual se realizou uma busca sistemática por artigos publicados em revistas indexadas nas bases de dados PubMed/Medline, Scielo, dentre outros e o levantamento de dados em sistemas nacionais de informação. Resultados: No Brasil, a via oral é o modo de infecção mais prevalente e a região com maior taxa de morte por habitante é a região centro-oeste. O perfil mais prevalente de pessoas que que foram a óbito devido a DC no ano de 2018 são do sexo masculino, raça parda, idade de 70 a 79 anos, que habitam a região centro-oeste. Conclusão: Devem ser criadas estratégias para aperfeiçoar o processo de registro da doença, buscando reduzir o percentual de registros ignorados que geram dados conflitantes e melhorar a infraestrutura tecnológica das unidades de saúde.
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