外伤性硬膜下积液临床治疗体会

Clinical study of traumatic subdural effusion

目的研究外伤性硬膜下积液(TSE)的临床特点、发病机制和治疗方法。方法对90例TSE患者进行临床资料回顾性分析。结果非手术治疗75例,其中随访65例,痊愈18例,显效32例,无效15例,有效率76.9%;手术治疗15例,随访14例,痊愈5例,显效6例,无效3例,有效率78.6%。随访总有效率77.2%。结论在治疗TSE患者时,应采取综合疗法,多数预后良好。

Objective To explore the clinical features,pathogenesis and treatment of traumatic subdural effusion（TSE）.Methods Clinical data were retrospectively analyzed in 90 cases of patients with TSE.Results Seventy five cases underwent non-surgical treatment,including 65 cases cured in follow-up,18 cases cured,32 cases effective and 15 cases ineffective,and the efficiency was 76.9%;15 cases underwent surgical treatment,14 cases were followed up and five cases were recovered,6 cases was effective,3 cases were ineffective,and the efficiency was 78.6%.The total efficiency of follow-up was 77.2%.Conclusion In the treatment of TSH in patients,combination therapy should be taken and the majority of patients have good prognosis.