摘要
目的探讨机化型慢性硬膜下血肿（CSDH）的临床特点及治疗方法。方法对2012-2016年我院神经外科收治的2例机化型CSDH患者的临床资料及治疗方法与效果进行分析。结果 2例患者均为中老年男性,有明确头部外伤史,表现为高颅压症和局灶神经功能损害症状。先行钻孔引流术,效果差;改行骨瓣开颅术清除血肿;骨瓣开颅术后1周均血肿复发;再行钻孔引流术,血肿清除,无复发。结论年龄〉50岁和头部外伤是机化型CSDH的危险因素;骨瓣开颅手术清除机化血肿的效果优于钻孔引流术;机化型CSDH术后易复发。
Objective To explore the clinical features and therapeutic method of chronic subdural hematoma （CSDH）. Method The clinical data ,treatment options and effects of 2 patients with organized CSDH admitted in our dapartment during 2010 and 2013 were analyzed. Results Both patients were quinquagenarians with a history of head trauma. Symptoms showed hyper-eranial pressure and partial neurological impairment. A drilling drainage surgery was firstly performed with little effect before a eraniotomy was performed to remove hematoma, a week after which there was a relapse of hematoma. A drilling drainage surgery was once again performed as a success to have got the hematoma cleared with no relapse. Conclusions Over 50 years old and head trauma are the risk factors of organized CSDH. The eraniotomy surgery is better than drilling drainage in removing the hematoma. Organized CSDH is easy to relapse.
出处
《临床神经外科杂志》
CAS
2017年第5期393-395,共3页
Journal of Clinical Neurosurgery
关键词
慢性硬膜下血肿
机化
外伤
骨瓣开颅术
chronic subdural hematoma
organized
trauma
craniotomy surgery
