自发性椎管内硬膜外血肿2例诊治分析

Diagnose and treatment for spontaneous spinal epidural hematoma:2 cases report

目的探讨总结自发性椎管内硬膜外血肿的诊疗方法,提高对于自发性椎管内硬膜外血肿的临床诊治水平。方法对自2007年6月以来收治的2例自发性椎管内硬膜外血肿患者的临床诊治资料,包括病因、发病过程、临床表现以及手术后患者康复情况进行回顾性分析。结果2例患者起病情况、出血部位以及脊髓受压时间等不同,导致患者术后康复存在明显差异。结论对于自发性椎管内硬膜外血肿患者,尽快完善MRI检查,明确诊断,尽早手术是获得最大程度功能康复的关键。

Objective To summarize the method of diagnose and treatment for spontaneous spinal epidural hematoma（SSEP）. Methods We retrospectively studied clinical information of 2 cases who suffered SSEP, including：cause of hematomas, the process of invasion, the clinical manifestation and the results after operation. Results There were differences between 2 cases in the following aspects： process of disease invasion , bleeding parts, duration of the compression of spine cord. All these resulted in the different outcome in two cases. Conclusions MRI is admitted when a patient is suspected to suffered with SSEP. Once the diagnose is clear, the surgery shoug be carried out as soon as possible.