外伤性硬膜下积液转化为慢性硬膜下血肿的23例诊治体会

Experiences in the Diagnosis and Treatment of Chronic Subdural Hematoma Resulting from Traumatic Subdural Effusion

目的:探讨外伤性硬膜下积液转化为慢性硬膜下血肿的机制,并分析钻孔引流术的治疗效果.方法:回顾性分析2016年1月-2019年1月于笔者所在医院行钻孔引流术治疗的23例外伤性硬膜下积液转化为慢性硬膜下血肿的临床资料.结果:术后6个月后,23例均复查头颅CT,证实无硬膜下血肿及硬膜下积液,中线结构无偏移,受压脑组织复张,治愈率为100%.结论:外伤性硬膜下积液可转化为慢性硬膜下血肿,应动态复查头颅CT或MR并及时采取治疗措施.采用硬膜下血肿钻孔引流术治疗外伤性硬膜下积液转化为慢性硬膜下血肿效果显著.

Objective:To probe the mechanism of chronic subdural hematoma resulting from traumatic subdural effusion,and to analyze the therapeutic effect of puncture drainage.Method:Retrospective analysis was performed on the clinical data of 23 cases of chronic subdural hematoma resulting from traumatic subdural effusion treated by puncture drainage in our hospital from January 2016 to January 2019.Result:Six months after the operation,all the 23 cases were reexamined by head CT,and it was confirmed that there was no subdural hematoma and subdural effusion,the midline structure was not deviated,and the compressed brain tissue was re-expanded,and the cure rate was 100%.Conclusion:Traumatic subdural effusion can evolve into chronic subdural hematoma,and dynamic head CT or MR should be reviewed and treatment should be taken promptly.Subdural hematoma puncture drainage is effective in treating the chronic subdural hematoma resulting from traumatic subdural effusion.