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Surgical site-related complications
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SFC
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Two doctors examined the wound flap. An obvious wave motion was present.
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Main index
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STH
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CT or MRI shows a cystic effusion with an obvious occupying effect. The symptoms are high intracranial pressure, such as a headache, epilepsy, haemiplegia, aphasia, or consciousness disturbance.
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A serious clinical event, may even lead to a brain hernia. Emergency decompression can be necessary if mannitol does not alleviate the symptoms.
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Infection
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Intracranial infection
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(1) Fever > 38.5 °C, (2) meningeal irritation sign, (3) leukocyte count in CSF > 100/ml, (4) glucose in CSF < 2.5 mmol/L.
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Wound infection (extradural abscess)
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(1) Redness, swelling, heat, and pain in the scalp soft tissue, wound dehiscence and purulent fluid. (2) Purulent fluid was found in debridement.
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Pulmonary infection
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(1) Symptoms of pneumonia: high fever, cough, expectoration; (2) haemogram leukocyte increased; (3) inflammation visible on chest film or lung CT.
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Hemiplegia, epilepsy or consciousness disorder operatively; long-term bed rest will induce falling pneumonia.
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Epidural hematoma
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High-density space-occupying lesions on CT.
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General condition
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Strength-better
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Preoperative muscle strength vs. muscle strength 1 week postoperatively, 0 unchanged or worse, 1 better.
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Epilepsy-better
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Preoperative epileptic seizure vs epileptic seizure 1 week postoperatively, 0 unchanged or worse, 1 better.
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T_AVG
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Average temperature from the 1st to 3rd POD.
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Related to infection
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T_MAX
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Max temperature from the 1st to 3rd POD.
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Related to infection
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Length of stay
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Postoperative hospital stay = total hospital stay − preoperative hospital stay.
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Related to infection
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Postoperative medicine fee
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Medicine fee = total cost − high value consumables applied during operation − navigation − operation cost
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Related to infection
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