摘要
目的 探讨演变型外伤性硬膜下积液的临床特点及诊治经验。方法 对本科收治的 3 7例演变型外伤性硬膜下积液患者的临床资料进行回顾性分析。结果 本组病例年龄在 3月～ 75岁 ,大多数患者原发颅脑损伤轻微 ,主要临床表现为慢性颅内压升高 ,复查CT确诊为演变型硬膜下积液的时间为伤后 2 8～ 110d。所有病例经钻孔引流术后均获理想疗效。结论 年龄两极化、原发性颅脑损伤较轻和慢性颅内压升高是演变型外伤性硬膜下积液的主要临床特点 ,动态CT复查和钻空引流分别是其首选的诊断手段和治疗方法。
Objective To explore the clinical characteristics of evolutionary type of traumatic subdural hydroma(ETTSH) and experiences of diagnosis and treatment of ETTSH. Methods The clinical data of 37 patients with ETTSH were analyzed retrospectively. Results The patients ages were from 3 months to 75 years old, most of primary craniocerebral injuries were mild, the main clinical manifestation was chronic increased intracranial pressure, and the final diagnosis time by CT scanning was 28 to 110 days after craniocerebral injury. All patients had a good prognosis by surgical drainage. Conclusion Polarized age, mild primary craniocerebral injury and chronic increased intracranial pressure are the main clinical characteristics of ETTSH. Dynamic CT scanning and surgical drainage were the first choice of diagnosis and treatment of ETTSH, respectively.
出处
《中国医师杂志》
CAS
2005年第3期356-358,共3页
Journal of Chinese Physician
