慢性硬膜下血肿的诊治及并发症的防治

Diagnosis and treatment of chronic subdural hematomas and prevention of postoperative complication

目的总结慢性硬膜下血肿的诊疗经验及探讨术后并发症的发生原因。方法对我科2005年12月至2008年10月间收治的158例慢性硬膜下血肿手术病例进行回顾性分析。结果153例行钻孔引流术,4例行小骨瓣开颅血肿清除术,1例因全身情况差而行保守治疗。共发生并发症22例,经积极处理均痊愈。结论简单的手术是治疗慢性硬膜血肿可靠、有效的手段。重视对术后并发症的防治有助于改善患者的预后。

Objective To summarize the diagnosis and treatment experiences of chronic subdural hematomas and explore the reasons of postoperative complication. Methods Retrospectively analyzed the clinical data of 158 patients with chronic subdural hematomas who received operation in our department from Dec. 2005 to Oct.2008. Results Among these cases,153 patients received the operation of trepanation and drainage,4 performed small bonewindow craniotomy,and 1 accepted the conservative treatment for his bad physical condition.The complications were occurred in 22 cases,but all of them have fully recovered after proper treatment. Conclusion A simple operation is a reliable and effective way to treat chronic subdural hematomas. Attaching great importance to the prevention and treatment of complications is conducive to improve the prognosis.