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[亚急性硬膜外血肿]

[Subacute epidural hematoma].

作者信息

Maliszewski M, Majchrzak H, Bierzyńska-Macyszyn G, Lech A

机构信息

Oddziału Neurochirurgii Szpitala Górniczego, Sosnowcu.

出版信息

Neurol Neurochir Pol. 1991 Nov-Dec;25(6):756-61.

PMID:1811182
Abstract

Eleven patients are reported who had subacute epidural haematoma diagnosed by CT 48 hours after craniocerebral trauma. These haematomas, most frequently, were located outside the temporal region. In some cases capsule of the haematoma could be recognized. The indication to surgical treatment was increasing intensity of intracranial pressure and development or persistence of the signs of focal CNS injury. Effective conservative treatment was given to patients with good general condition in whom CT showed no shifting of midline structures over 5 mm, and the fissure of the fracture was not lying transversely to the course of middle meningeal artery branches.

摘要

报告了11例在颅脑创伤48小时后经CT诊断为亚急性硬膜外血肿的患者。这些血肿最常见于颞区以外。在某些病例中可识别出血肿包膜。手术治疗的指征是颅内压升高以及局灶性中枢神经系统损伤体征的出现或持续存在。对于一般状况良好、CT显示中线结构移位不超过5mm且骨折裂隙不横过脑膜中动脉分支走行的患者给予有效的保守治疗。

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