双侧慢性硬膜下血肿的诊治体会

目的探讨双侧慢性硬膜下血肿的诊治特点。方法26例高龄双侧慢性硬膜下血肿，全部病例均行头颅CT检查。2例在全麻下，其它在局麻下采取双侧钻单孔引流术。选定血肿最厚层面前中1／2到1／3处为钻孔点。结果漏诊一侧1例，其余术前诊断正确。25例术后痊愈，1例原有神经功能恢复不明显。结论仔细观察CT和选定合适的钻孔点是诊治的关键。

Diagnosis and treatment of bilateral chronic subdural hematoma

Objective To explore the character of diagnosis and minimal invasive surgery of the bilateral chronic subditral hematoma. Methods 26 patients with bilateral chronic subdural hematoma were choosen. All the patients undergone CT scans. We launched bilateral single twist - drill craniostomy with irrigation and drainage every patient. Two patients were under general anesthesia, the others were under local anesthesia. The drill points were between the one second and one third of anterior middle place on the largest hematoma section. Results One side in one case was not diagnosed,the others were diagnosed correctly.25 patients were fully recovered,one was not recovered. Conclusion It is key to observe carefully and choose appropriate drill point for diagnosis and minimal invasive surgery in bilateral chronic subdural hematoma.