Chronic subdural hematoma on the clinical diagnosis and treatment（慢性硬脑膜下血肿的临床诊断和治疗）.doc

Chronic subdural hematoma on the clinical diagnosis and treatment [Abstract] discuss the diagnosis and treatment of chronic subdural hematoma experience and hole drainage of chronic subdural hematoma after the prevention of complications. Active prevention and treatment of chronic subdural hematoma drainage hole postoperative complications and help to improve the prognosis . [Keywords] chronic subdural hematoma drainage complications Chronic subdural hematoma is more common in neurosurgery for chronic subdural hematoma treated 148 cases of chronic subdural hematoma treatment lessons, is now used for retrospective analysis as follows. 1 Materials and Methods 1.1 General Information The group of 148 patients, male 142 cases, 6 females, aged 37-76 years, andgt; 50 years 118 cases, 79.7% have a clear history of trauma in 124 cases, accounting for 83.8% - 2 months course of three weeks . Extubation time 2-6d. 1.2 Clinical manifestations 136 cases of headache, nausea and vomiting 92 cases, 54 cases with mental symptoms, positive pyramidal tract signs in 42 cases, 108 cases of limb weakness, paralysis in 78 cases, preoperative conscious 118 cases, 18 cases of drowsiness, coma 12 cases. Onset of 2d-2 months. 1.3 Imaging The whole group were confirmed by brain CT scan which showed a homogeneous low density CT, 66 patients in the high density of low-density mixed density in 54 cases, 28 cases of equal density. On the CT scan showed a crescent shadow density anomaly, with the lateral pressure, brain pool disappeared, mild midline shift to the contralateral intracranial hematoma volume in the 70-130mL.148 example, bilateral hematoma in 34 cases , left 66 cases, the right side of 48 cases. hematomas were more atrial in 2 cases. midline structure shift lt;1.0cm 18 例 ,1.0-2 .0 cm 106 例,gt; 2.0cm 26 cases. bleeding sites: the left frontal-temporal Department in 44 cases, the right frontotemporal in 36 patients, the left frontoparietal occip