慢性硬脑膜下血肿诊疗体会

目的：探讨慢性硬膜下血肿的临床及诊疗要点。方法：回顾性分析138例慢性硬膜下血肿患者的临床资料。结果：1例术中大出血死亡，其余137例均治愈出院。术后硬膜下积液2例，脑内血肿5例，张力性气颅2例，癫痫发作3例，3例复发。结论：头颅CT平扫是诊断CSDH的首选检查。对于有症状的CSDH患者，应根据血肿的特点，选择合适的术式，而积极防治手术并发症是治疗CSDH的关键。

Experience in Diagnosis and Treatment of Chronic Subdural Hematoma

Objective： To explore diagnosis and surgical treatment of chronic subdural hematoma （CSDH）. Methods： The clinical data of 138 patients with chronic subdural hematoma were analyzed retrospectively. Results： One case died of intraoperative bleeding, while the other 137 cases were all cured. After the operation, two cases suffered subdural effusion, five cases suffered intracerebral hematoma, two cases suffered tension pneumocephalus, three cases suffered seizures, and three cases recurred. Conclusion： Head CT scan is the first choice of diagnostic examination for CSDH. The appropriate procedure should be taken for symptomatic patients according to the characteristics of hematoma. Aggressive prevention and treatment of operative complications is crucial to treat the patients of CSDH.