Pedachenko G A, Kumar B A
Zh Vopr Neirokhir Im N N Burdenko. 1990 May-Jun(3):6-9.
The authors studied 57 verified cases of bilateral traumatic subdural hematomas (BTSH) 36 of which were acute, 4 subacute, and 17 chronic. The patient's ages ranged from 15 to 84 years. The clinical picture of BTSH is made up of general cerebral, primary-focal, and dislocation symptoms. Computerized tomography, serial cerebral angiography, and trephinations formed on both sides help in detection of BTSH. Simultaneous opening of the dura mater on both sides with slow evacuation of the contents of the hematomas is an important stage of surgical intervention in BTSH.
作者研究了57例经证实的双侧创伤性硬膜下血肿(BTSH)病例,其中36例为急性,4例为亚急性,17例为慢性。患者年龄在15至84岁之间。BTSH的临床表现由一般脑症状、原发性灶性症状和脱位症状组成。计算机断层扫描、系列脑血管造影以及双侧钻孔有助于BTSH的检测。双侧同时打开硬脑膜并缓慢清除血肿内容物是BTSH手术干预的重要阶段。