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慢性硬膜下血肿及其发病机制探讨:150例临床分析
引用本文:岳树元 马喜. 慢性硬膜下血肿及其发病机制探讨:150例临床分析[J]. 天津医药, 1993, 21(4): 212-215
作者姓名:岳树元 马喜
作者单位:天津医学院附属医院神经外科天津神经病学研究所 300052
摘    要:

关 键 词:硬膜下血肿 慢性 诊断 病因

Chronic Subdural Hematoma and Its Pathogenesis Clinical Analysis of 150 Cases
Yue Shuyuan,et al. Chronic Subdural Hematoma and Its Pathogenesis Clinical Analysis of 150 Cases[J]. Tianjin Medical Journal, 1993, 21(4): 212-215
Authors:Yue Shuyuan  et al
Affiliation:Yue Shuyuan,et al Department of Neurocsurgery,Tianjin Medical College Hospital
Abstract:A report of 150 cases of chronic subdural hematoma(CSDH),74% with ahistory of head injury,was presented.It was found that the external membrane ofhematoma had rich neocapillaries.It was suggested that overactivation in fibrinolyticsystem was the fundamental cause for the gradual increase of the size of the hemato-ma.CSDH commonly occurred in the elderly over 60 years,86.67% of the hematomasin the frontotemporal lobe.The old patients mainly showed progressive dementia,rigidity and hemiparesis,while the young mainly showed increse of intracranial pre-ssure.The diagnosis of CSDH frequently depended on CT scan.In the series 143were treated with drill craniostomy and closed system drainage with good outcome.The death rate was 2%.
Keywords:subdural bematoma  chronic  diagnosis  treatment  
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