慢性硬膜下血肿50例临床总结

目的：总结慢性硬膜下血肿发病机制、临床诊断和治疗方法,为治疗慢性硬膜下血肿提供临床依据。方法：选取2010年6月-2012年6月来笔者所在医院治疗慢性硬膜下血肿的50例患者进行回顾性分析,针对患者的病情采取不同的治疗方法,50例患者45例采用手术治疗,5例采用保守治疗,观察治疗效果。结果：痊愈36例,中残5例,重残3例,植物生存1例,转院治疗1例,死亡4例,死亡率为8.0%。结论：对慢性硬膜下血肿应及早进行诊断,当颅内压增加时应立即进行手术,手术方式首选钻孔引流术,在手术前后要做好护理工作,密切监测患者的生命体征,加强对引流管、伤口、皮肤等的护理,从而使患者尽早康复。

Chronic Subdural Hematoma in 50 Cases

Objective： To summarize the clinical diagnosis and treatment of chronic subdural hematoma, pathogenesis, and provide clinical basis for the treatment of chronic subdural hematoma. Method： 50 patients from 2010 June to 2012 June in our hospital for treatment of chronic subdural hematoma were analyzed retrospectively, adopt different treatments according to the patient, the 50 patients, 45 cases were treated by operation, 5 patients received conservative treatment, observed the therapeutic effect of. Result： 36 cases recovered, disabled in 5 cases, severe disability in 3 eases, plant survival of 1 cases, hospital treatment in 1 cases, 4 cases died, the mortality rate was 8%. Conclusion： early diagnosis should be taken for chronic subdural hematoma, when increased intracranial pressure should be an immediate operation, operation mode preferred trepanation and drainage, before and after the operation to do care work, close monitoring of the vital signs of the patients, strengthen the nursing, wound, skin and other drainage, allowing patients to recover as soon as possible.