外伤性大脑纵裂血肿临床分析

Clinical analysis of 22 cases with traumatic interhemispheric subdural hematomas

目的探讨大脑纵裂血肿的发生机制、临床表现和治疗方法。方法回顾性分析22例外伤性大脑纵裂血肿患者的临床特点和救治情况。结果治愈19例,死亡3例(多脏器功能衰竭或晚期脑疝)。结论大脑镰综合征是大脑纵裂血肿患者典型表现,纵裂间积血厚度>1 cm,可作为诊断参考标准,手术治疗以功能障碍或病情稳定与否来为依据。

Objective To analyze the clinical characteristics, pathogenesis and managements of traumatic interhemispheric subdural hematomas（ISH）. Methods Data of twenty-two traumatic ISH cases were reviewed and analyzed retrospectively. Results Of 22 patients, 19 were cured and 3 died of multi-system organ failure （MSOF） and uncontrolled cerebral hernia, respectively. Conclusion Flax syndrome is the typical clinical manifestation of ISH patients. Hematocele greater than 20 ml in the interhemispheric subdural space, or with a thickness of hematocele over 1 cm may serve as a diagnostic criterion for ISH. For the treatment of ISH, surgery and conservative management are suggested on the basis of functional disturbance or the stability of the disease.