外伤性硬膜下积液演变为慢性硬膜下血肿。
Traumatic subdural hydroma developing into chronic subdural hematoma.
作者信息
Liu Yu-guang, Xu Chang-jun, Zhu Shu-gan, Jiang Yu-quan, Li Gang, Li Xin-gang, Su Wan-dong, Wu Cheng-yuan
机构信息
Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan 250012, China.
出版信息
Chin J Traumatol. 2004 Jun;7(3):188-90.
OBJECTIVE
To probe the incidence, pathogenesis and clinical characteristics of traumatic subdural hydroma (TSH) developing into chronic subdural hematoma (CSDH).
METHODS
We retrospectively analyzed the clinical data of 32 patients with TSH developing into CSDH and reviewed related literature.
RESULTS
16.7% of TSH developed into CSDH in this study. The time of evolution was from 22 to 100 days after head injury. All the patients were cured with hematoma drainage.
CONCLUSIONS
TSH is one of the origins of CSDH. The clinical characteristics of TSH developing into CSDH follow that the ages of the patients are polarized, that the evolution often happens in the patients with small chronic hydromas and being treated conservatively, that the patients are usually injured deceleratedly and that the accompanying cerebral damage is often very mild.
目的
探讨外伤性硬膜下积液（TSH）演变为慢性硬膜下血肿（CSDH）的发生率、发病机制及临床特点。
方法
回顾性分析32例TSH演变为CSDH患者的临床资料，并复习相关文献。
结果
本研究中16.7%的TSH演变为CSDH。演变时间为伤后22至100天。所有患者经血肿引流治愈。
结论
TSH是CSDH的起源之一。TSH演变为CSDH的临床特点为患者年龄两极化，演变常发生于慢性小积液且保守治疗的患者，患者常为减速伤，且伴发的脑损伤往往很轻微。
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