Santarius T, Hutchinson P J
Br J Neurosurg. 2004 Aug;18(4):328-32. doi: 10.1080/02688690400004845.
This article reviews chronic subdural haematoma in terms of evidence relating to incidence, pathogenesis and treatment. While it is one of the commonest neurosurgical conditions, unanswered questions persist, particularly in terms of treatment options, with a multitude of personal preferences. Current management strategies are summarized and the need to rationalise treatment backed up by Class I randomized studies is discussed.
本文从与发病率、发病机制和治疗相关的证据方面对慢性硬膜下血肿进行综述。虽然它是最常见的神经外科疾病之一,但仍存在一些未解决的问题,尤其是在治疗选择方面,存在众多个人偏好。总结了当前的管理策略,并讨论了通过I类随机研究支持治疗合理化的必要性。