Kotwica Z, Brzeziński J, Chmielowski M
Neurol Neurochir Pol. 1986 Sep-Oct;20(5):471-4.
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.
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。