外伤性硬膜下积液的临床诊断与治疗
Chinese Journal of Clinical Medicine(2006)
Abstract
目的:总结探讨外伤性硬膜下积液的诊断与治疗.方法:回顾分析28例外伤性硬膜下积液的临床特点、影像学资料和不同时期的治疗方法及预后.结果:保守治疗10例,占35.7%;钻孔引流术14例,占50%;开颅囊壁部分切除术3例,占10.7%;积液-腹腔分流术1例,占3.5%.其中双侧硬膜下积液16例,占57.2%;单侧硬膜下积液12例,占42.8%.随访时间2个月~1年,积液完全消失21例,积液明显减少6例,积液无变化1例,治愈率为96.4%.结论:外伤性硬膜下积液的诊断以临床表现和影像学资料为主,治疗方法可采用保守治疗和钻孔引流、开颅囊壁部分切除及积液-腹腔分流术.
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Key words
Diagnosis,Subdural hydroma,Brain injury,Treatment
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