Firsching R, Müller W, Thun F, Boop F
Neurochirurgische Universitätsklinik, Universität, Köln, Federal Republic of Germany.
Surg Neurol. 1990 Mar;33(3):173-7. doi: 10.1016/0090-3019(90)90180-w.
Histologic investigation was performed in 38 out of 224 chronic subdural hematomas treated at our institution from 1978 to 1988. Nucleated red blood cells were found in 33% of the chronic subdural membranes examined. Additional sections were examined in 14 of these 38 patients, revealing erythroblasts in 57%. The clinical course and radiographic findings in the patients whose membranes contained erythroblasts were compared with those whose specimens did not. Neither history, presentation, size of hematoma, nor postoperative recovery differed from one group to the other. By comparing histologic and clinical findings, we are able to conclude that the production of erythrocytes by chronic subdural membranes is of no surgical significance.
1978年至1988年期间，在我们机构接受治疗的224例慢性硬膜下血肿患者中，对其中38例进行了组织学研究。在所检查的慢性硬膜下膜中，33%发现有有核红细胞。在这38例患者中的14例中检查了额外的切片，发现57%有幼红细胞。将膜中含有幼红细胞的患者的临床病程和影像学表现与标本中没有幼红细胞的患者进行了比较。两组之间在病史、表现、血肿大小或术后恢复方面均无差异。通过比较组织学和临床发现，我们能够得出结论，慢性硬膜下膜产生红细胞没有手术意义。
