慢性硬膜下血肿的诊断与治疗

Diagnosis and Treatment of Chronic Subdural Hematoma

目的探讨慢性硬膜下血肿的诊断与治疗。方法回顾总结50例既往慢性硬膜下血肿的临床资料。结果开颅血肿清除2例,钻双孔冲洗置管引流10例,钻单孔冲洗置管引流38例,造成脑挫裂伤1例,张力性气颅1例,无颅内感染及死亡病例。结论慢性硬膜下血肿诊断以CT为主要检查手段,个别病例需MR确诊,慢性硬膜下血肿单孔置管引流效果满意。

Objective To explore the diagnosis and treatment of chronic subdural hematoma. Methods The clinical data of 50 cases with chronic subdural hematoma were summarized retrospectively. Results 2 cases underwent craniotomy to drain hemato- ma; 10 cases underwent irrigation and drainage by biforate trepanation ;38 cases underwent irrigation and drainage by single bor- ing. The contusion and laceration of brain occurred to 1 case , and tension pneumocephalus occurred to 1 case, no intracranial in- fection or death case was found. Conclusion CT scan is the main examination way for diagnosis of chronic subdural hematoma, some exceptional cases need MR to diagnose. The drainage with tube by single boring is an effective way for chronic subdural he- matoma.