摘要
报道慢性硬膜下血肿(CSDH)150例,74%有头部外伤史。实验发现血肿外膜富含新生毛细血管,局部纤溶亢进可能是 CSDH 发生的主要原因。表明 CSDH 常发生于60岁以上的老年人,86.67%病例血肿位于额颞部。老年人常以精神症状及偏瘫起病,而年轻人则常以颅内压增高起病。CSDH 的诊断主要依靠 CT 扫描。本组143例行钻颅术,效果良好,病死率为2%。
A report of 150 cases of chronic subdural hematoma(CSDH),74% with ahistory of head injury,was presented.It was found that the external membrane ofhematoma had rich neocapillaries.It was suggested that overactivation in fibrinolyticsystem was the fundamental cause for the gradual increase of the size of the hemato-ma.CSDH commonly occurred in the elderly over 60 years,86.67% of the hematomasin the frontotemporal lobe.The old patients mainly showed progressive dementia,rigidity and hemiparesis,while the young mainly showed increse of intracranial pre-ssure.The diagnosis of CSDH frequently depended on CT scan.In the series 143were treated with drill craniostomy and closed system drainage with good outcome.The death rate was 2%.
出处
《天津医药》
CAS
1993年第4期212-215,共4页
Tianjin Medical Journal
关键词
硬膜下血肿
慢性
诊断
病因
subdural bematoma
chronic
diagnosis
treatment
