摘要
目的:探讨机化型慢性硬膜下血肿(CSDH)开颅术后精神障碍的相关因素。方法:回顾性分析经开颅手术治疗的30例慢性硬膜下血肿(机化型)的临床特点、影像学表现、手术结果及其与精神障碍的关系。结果:术后患者精神障碍的产生具有多因素:病程长、年龄大、合并疾病多(糖尿病、帕金森、脑脱髓鞘)、术前神经功能障碍严重、血肿中线移位≥5mm、双侧血肿等。结论:导致机化型CSDH开颅术后出现精神障碍的因素较复杂,选择恰当的药物治疗,可迅速缓解精神症状。
Objective： To explore the correlation factors of psychonosema after craniotomy for organized CSDH. Methods： A retrospective analysis of 30 cases of organized CSDH treated by craniotomy was performed, including clinical characteristics, iconography manifestation, treatment results and the relation with psychonosema. Results： Many factors were associated with the postoperative psychonosema including a long disease course, old age, several complicating disease such as diabetes, Parkinson and demyelinating disease, and preoperative neural dysfunction, a shift （≥5mm） of hematoma central line and bilateral hematoma. Conclusions： The factors for psychonosema after organized CSDH craniotomy were complicated. Appropriate medications were needed to relieve the psychiatric symptom.
出处
《内蒙古中医药》
2011年第3期43-44,共2页
Inner Mongolia Journal of Traditional Chinese Medicine
关键词
慢性硬膜下血肿
术后精神障碍
开颅术
机化
Chronic subdural hematoma, Postoperative psychonosema, Craniotomy, Organization
