自发性硬脊膜外血肿的诊治

The diagnosis and treatment of patients with spontanous spinal epidural hematoma

目的 探讨自发性硬脊膜外血肿的病因、诊断及治疗。方法 回顾性分析了 7例自发性硬脊膜外血肿患者的临床表现、诊断及治疗情况。结果 2例患者的病因为血管畸形 ,另有 2例患者可能的病因为高血压 ;6例在起病 3 6h内手术的患者中有 5例神经功能完全恢复 ,1例在起病 72h后手术的患者未恢复。结论 自发性硬脊膜外血肿的早诊断。

Objective To investigate the etiology, diagnosis and treatment of the patients with spontaneous spinal epidural hematoma.Method The chinical manifestation,diagnosis and treatment of 7 patients were analysed retrospectively.Result 2 patients had specific pathogeny of vascular malformation and other 2 patients had possible pathogeny of hypertention,5 out of 6 patients which were operated within 36 hours since the onset recovered well,while one patient operated after 72 hours recovered poor.Conclusion Early diagnosis and treatment was the key to neurological function recovery of the patients with spontaneous spinal epidural hematoma.