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慢性硬膜下血肿:历史与临床视角

Chronic Subdural Hematoma: A Historical and Clinical Perspective.

作者信息

Sahyouni Ronald, Goshtasbi Khodayar, Mahmoodi Amin, Tran Diem K, Chen Jefferson W

机构信息

UC Irvine School of Medicine, Irvine, California, USA; UC Irvine Department of Biomedical Engineering, Irvine, California, USA.

UC Irvine School of Medicine, Irvine, California, USA.

出版信息

World Neurosurg. 2017 Dec;108:948-953. doi: 10.1016/j.wneu.2017.09.064. Epub 2017 Sep 19.

Abstract

BACKGROUND

This review aims to highlight the clinical complexity of chronic subdural hematoma (cSDH) while presenting a brief historical discussion of cSDH.

METHODS

A thorough literature search of published English-language papers was performed in PubMed, Ovid, and Cochrane databases.

RESULTS

cSDH affects 1-5.3 per 100,000 individuals annually, with the incidence expected to rise as the U.S. population ages. The symptoms of cSDH are often nonspecific, with headaches being the most common complaint. Other symptoms include weakness, balance and gait problems, and memory problems.

CONCLUSIONS

A variety of clinical factors must be taken into account in the treatment of cSDH, and the multifaceted treatment paradigms continue to evolve.

摘要

背景

本综述旨在强调慢性硬膜下血肿(cSDH)的临床复杂性,同时简要回顾其历史。

方法

在PubMed、Ovid和Cochrane数据库中对已发表的英文论文进行全面的文献检索。

结果

cSDH每年影响每10万人中的1至5.3人,随着美国人口老龄化,其发病率预计会上升。cSDH的症状通常不具有特异性,最常见的主诉是头痛。其他症状包括虚弱、平衡和步态问题以及记忆问题。

结论

在cSDH的治疗中必须考虑多种临床因素,并且多方面的治疗模式仍在不断发展。

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