摘要
目的探讨外伤性硬膜下积液(TSE)的临床特征及处理方法。方法回顾性分析36例TSE的动态CT及临床表现,将TSE分为:消退型、稳定型、进展型和演变型,采取相应的治疗措施。记录与观察治疗方式、治疗效果,比较患者治疗前后GCS评分。结果 15例消退型和7例稳定型保守治愈;稳定型、进展型各1例和9例演变型采取钻孔引流术,1例演变型术后复发,再次钻孔治愈。2例演变型因慢性硬膜下血肿小于30 ml而行保守治疗吸收;1例进展型因拒绝手术,自动出院后死亡。治疗后患者GCS评分高于治疗前,差异具有统计学意义(P<0.05)。结论外伤性硬膜下积液可根据积液量和质的变化,以及其临床表现而采取不同的治疗策略,大多预后良好。
Objective Traumatic subdural effusion（TSE） the clinical characteristics and treatment methods. Methods The dynamic CT and clinical manifestations of 36 patients with TSE were analyzed retrospectively. The TSE was divided into three types, subsided type, stable type, progressive type and evolving type. Record and observation treatment, treatment effect, GCS score before and after treatment. Results 15 cases of subsided type and 7 cases of stable conservative treatment, stable type, progressive type of each of the 1 case and 9 cases the evolution of the type of drilling drainage, the recurrence of postoperative recurrence in 1 case, once again drilling cure. 2 cases of variant chronic subdural hematoma less than 30 ml conservative treatment absorption, 1 case of progressive type of refusal surgery, automatic death after discharge. After treatment, the GCS score of the patients was higher than that of before treatment, the difference was statistically significant（P〈0.05）. Conclusion Traumatic subdural effusion can take different treatment strategies according to the changes of fluid volume and quality, as well as its clinical manifestations, most of the prognosis is good.
出处
《中国继续医学教育》
2016年第36期52-53,共2页
China Continuing Medical Education
关键词
外伤性硬膜下积液
临床转归
处理策略
Traumatic subdural effusion
Clinical outcome
Treatment strategy
