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[硬膜下血肿的保守治疗]

[Conservative treatment of subdural hematoma].

作者信息

Kotwica Z, Brzeziński J, Chmielowski M

出版信息

Neurol Neurochir Pol. 1986 Sep-Oct;20(5):471-4.

PMID:3587518
Abstract

The authors report the results of conservative treatment of subdural hematomas in 8 cases. In 6 of them the treatment was begun 1 to 7 days after head trauma, the other two with no history of trauma had complained of intracranial disease for two to four weeks before admission to hospital. All patients were treated with dexamethasone and 6 of them with Lasix, and two with mannitol. In 7 cases a quick improvement was observed, one patient, after 7 days treatment without good result was operated on. Control CT-scan, performed 2 weeks to 6 months after conservative treatment revealed the resolution of previously detected subdural hematomas.

摘要

作者报告了8例硬膜下血肿保守治疗的结果。其中6例在头部外伤后1至7天开始治疗,另外2例无外伤史,在入院前2至4周就已出现颅内疾病症状。所有患者均接受地塞米松治疗,其中6例加用速尿,2例加用甘露醇。7例患者病情迅速改善,1例患者经7天治疗效果不佳后接受了手术。保守治疗后2周至6个月进行的CT复查显示,先前发现的硬膜下血肿已消失。

相似文献

1
[Conservative treatment of subdural hematoma].[硬膜下血肿的保守治疗]
Neurol Neurochir Pol. 1986 Sep-Oct;20(5):471-4.
2
[Subacute subdural hematoma: report of 3 cases].[亚急性硬膜下血肿:3例报告]
Nihon Geka Hokan. 1996 Jan 1;65(1):30-5.
3
[Conservative treatment of post-traumatic intracerebral hematoma].创伤后脑内血肿的保守治疗
Neurol Neurochir Pol. 1991 Mar-Apr;25(2):230-7.
4
Interhemispheric subdural hematoma. Case report.大脑半球间硬膜下血肿。病例报告。
J Neurosurg. 1984 Jun;60(6):1300-2. doi: 10.3171/jns.1984.60.6.1300.
5
[Bilateral chronic subdural hematomas presented with subarachnoid hemorrhage: report of two cases].[双侧慢性硬膜下血肿合并蛛网膜下腔出血:2例报告]
No Shinkei Geka. 1996 Jun;24(6):573-6.
6
[Conservative therapy of chronic subdural hematomas].[慢性硬膜下血肿的保守治疗]
Schweiz Med Wochenschr. 1987 Nov 21;117(47):1856-62.
7
[Conservative treatment of chronic subdural hematomas].[慢性硬膜下血肿的保守治疗]
Vopr Neirokhir. 1974 Jul-Aug(4):60-2.
8
Infantile head injury, with special reference to the development of chronic subdural hematoma.小儿头部损伤,特别提及慢性硬膜下血肿的发展
Childs Nerv Syst. 2000 Sep;16(9):590-4. doi: 10.1007/s003810000312.
9
[Arachnoid cysts and subdural hematomas].[蛛网膜囊肿和硬膜下血肿]
Rev Neurol (Paris). 1996 Nov;152(11):695-9.
10
[Prospects for conservative treatment of chronic subdural hematomas - investigation of the absorption process].[慢性硬膜下血肿保守治疗的前景——吸收过程的研究]
No To Shinkei. 1982 Oct;34(10):999-1005.

引用本文的文献

1
Chronic Subdural Hematoma (CSH) is Still an Important Clinical Problem. Analysis of 700 Consecutive Patients.慢性硬膜下血肿(CSH)仍然是一个重要的临床问题。对700例连续患者的分析。
Transl Neurosci. 2019 Nov 6;10:260-263. doi: 10.1515/tnsci-2019-0042. eCollection 2019.
2
Acute subdural haematoma in adults: an analysis of outcome in comatose patients.
Acta Neurochir (Wien). 1993;121(3-4):95-9. doi: 10.1007/BF01809257.