老年性慢性硬膜下血肿的诊治与误诊分析

目的总结分析老年慢性硬膜下血肿的临床特点，以期早期诊断和早期治疗。方法对38例老年性慢性硬膜下出血患者的临床资料、治疗方案及误诊原因进行回顾性分析。结果所有患者均经手术治疗，其中27例患者术后恢复良好；8例术后拔引流管前头颅CT复查合并有少量硬膜下积液和积气，于术后6个月内复查CT积液与积气消失；2例术后6个月仍然合并严重偏瘫；1例死亡。结论老年性慢性硬膜下血肿，临床症状不典型，极易误诊和漏诊，及时进行CT检查和早期诊治是减少死亡和残疾并获得良好预后的保证。

Early Diagnosis and Treatment of Senile Chronic Subdural Hematoma and Analysis on Misdiagnosis

Objective To investigate the clinical characteristics of senile chronic subdural hematoma in hopes of the early diagnosis and treatment. Methods The clinical data, treatment formulas and the cause of misdiagnosis of 38 cases with senile chronic subdural hematoma were analyzed were summarized retrospectively. Results All patients underwent operative therapy and 27 ca- ses recovered well. 8 cases were with subdural fluid and gas which was absorbed completely six months later;2 cases suffered from serious hemiplegia, 1 case died. Conclusion The uncharacterized clinical features often lead to the misdiagnosis. The timely CT scan and early diagnosis and treatment can decrease the incidence of death and disability effectively and gain a well prognosis.