急性硬膜外血肿合并硬膜下积液48例的临床治疗

Clinical treatment of 48 cases of acute epidural hematoma and subdural hygroma

目的探讨急性硬膜外血肿合并硬膜下积液的治疗经验。方法对48例急性硬膜外血肿并硬膜下积液的临床资料进行回顾性分析。血肿清除加蛛网膜下腔造瘘31例,单纯血肿清除17例。结果血肿清除加蛛网膜下腔造瘘组积液消失28例,少量积液3例经保守治疗消失。单纯血肿清除组,12例经钻孔引流术后积液消失,5例经保守治疗消失。结论血肿清除加蛛网膜下腔造瘘是治疗急性硬膜外血肿并硬膜下积液的有效方法。

Objective To investigate the efficacy of treatments in patients with acute epidural hematoma and subdural hygroma.Methods Clinical data of 48 patients with acute epidural hematoma and subdural hygroma were analyzed retrospectively.Clearance of hematoma and arachnoid fistulation were given to 31 patients.Simple clearance of hematoma was given to 17 patients.Results In the group of clearance of hematoma and arachnoid fistulation,subdural hygroma of 28 patients and 3 patients with non-surgical treatments were disappear.In the group of simple clearance of hematoma,subdural hygroma of 12 patients with bur-hole external drainage and 5 patients with non-surgical treatments were disappear.Conclusion Clearance of hematoma and arachnoid fistulation are an efficacy of treatments of acute epidural hematoma and subdural hygroma.