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在 COVID-19 病毒大流行期间,采用血管内栓塞术对慢性扩展型硬脑膜下血肿进行门诊管理,以尽量减少住院人数。

Outpatient management of chronic expanding subdural hematomas with endovascular embolization to minimize inpatient admissions during the COVID-19 viral pandemic.

机构信息

Department of Neurosurgery, 138207Albany Medical Center, Albany, NY, USA.

出版信息

Interv Neuroradiol. 2021 Oct;27(5):716-721. doi: 10.1177/1591019921996510. Epub 2021 Feb 16.

DOI:10.1177/1591019921996510
PMID:33593143
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8490660/
Abstract

Chronic subdural hematomas are complex collections that usually form after a trauma, particularly in elderly patients. This vulnerable population is at increased risk given the current viral pandemic. We share our experience in managing minimally symptomatic, enlarging subdural collections via middle meningeal embolization through the outpatient setting. This approach minimizes inpatient hospitalizations in hopes or reducing nosocomial spread (e.g., of COVID-19).

摘要

慢性硬脑膜下血肿是一种复杂的血肿,通常在创伤后形成,尤其是在老年患者中。由于当前的病毒大流行,这一脆弱人群的风险增加。我们通过门诊途径分享了我们在通过中层脑膜栓塞术治疗症状轻微、逐渐增大的硬脑膜下血肿方面的经验。这种方法最大限度地减少了住院治疗,希望减少医院内传播(例如 COVID-19 的传播)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea3a/8493347/1f4c5af8e4a1/10.1177_1591019921996510-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea3a/8493347/66174e8190ac/10.1177_1591019921996510-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea3a/8493347/97b6eabc66f8/10.1177_1591019921996510-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea3a/8493347/7ce0d94cd3f4/10.1177_1591019921996510-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea3a/8493347/078bf155b8b0/10.1177_1591019921996510-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea3a/8493347/1f4c5af8e4a1/10.1177_1591019921996510-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea3a/8493347/66174e8190ac/10.1177_1591019921996510-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea3a/8493347/97b6eabc66f8/10.1177_1591019921996510-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea3a/8493347/7ce0d94cd3f4/10.1177_1591019921996510-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea3a/8493347/078bf155b8b0/10.1177_1591019921996510-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea3a/8493347/1f4c5af8e4a1/10.1177_1591019921996510-fig5.jpg

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