老年人慢性硬膜下血肿30例临床分析

A Clinical Analysis of 30 Cases With Elderly Chronic Subdural Hematoma

为进一步加深对老年人慢性硬膜下血肿（ＣＳＨ）的识别，本文收集该患者３０例，结合其临床和ＣＴ特点进行了回顾性分析。结果提示：此类患者临床症状多不典型且较为复杂，来就诊头颅ＣＴ扫描前易被误诊为癫痫、老年性精神异常与脑血管病等，其误诊率为４３．３％。结论：临床对本病的诊断要多根据老年人的病理生理特点，全面综合分析，头颅ＣＴ是有效的诊断工具，颅骨钻孔血肿引流效果优于内科保守治疗。

In order to better understand the diagnosis in the elderly patients with chronic subdural hematoma(CSH),30 case of patients with CSH were reviewed through clinical CT characteristics.The results showed that clinical symptoms were complicated and not typical.They were often diagnosed as epilepsies,elderly mental disorders and cerebrovascular diseases before CT examination.The mistaken diagnosis was 43 3%.It indicated that Clinical diagnosis of CSH should be made by the pathophysiological characteristics of elderly Patients and through a general analysis.CT is an effective tool to diagnosis.Drainage is more effective than medicine treatment.