老年慢性硬膜下血肿诊疗体会

目的探讨老年慢性硬膜下血肿（chronic subdural hematoma，CSDH）病人的临床特点、治疗方法及疗效。方法回顾性总结分析近年采用单孔或双孔钻孔冲洗引流术治疗28例老年CSDH病人的临床资料。结果临床分级：术前：Ⅰ级0例，Ⅱ级4例，Ⅲ级18例，Ⅳ级6例，V级0例。术后1周：Ⅰ级9例，Ⅱ级14例，Ⅲ级5例。术后1月：Ⅰ级26例，Ⅱ级2例。结论重视老年CSDH的及时诊治，采取简单易行的颅骨钻孔引流能达到很好的治疗效果。

Diagnosis and treatment of the elderly patients with chronic subdural hematomas

Objective To summarize the clinical characteristics and curative effect in treating the elderly patients with chronic subdural hematoma（CSDH）. Methods The clinical data of 28 elderly patients with CSDH treated at our department in recent four years were retrospectively analyzed and all patients with the evidence of cranial com- puted tomography（CT） underwent operations. Results Among these patients,28 had good results, and not recurred during 1 months follow-up period. Conclusion The elderly patients with CSDH has the clinical features such as the older age, concealed history, slow onset and symptom of intracranial hypertension. And operation is the first choice to treat the elderly patients with CSDH.