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老年人急性创伤性硬膜下血肿及可能影响慢性化的相关因素

Acute Traumatic Subdural Hematoma in the Elderly and Associated Factors that May Influence Chronicity.

作者信息

Wasfie Tarik, Young Carly, Naisan Mursal, Senger Barbara, Brimmeier Alexis, Sobell Florence Ann, Stanbaugh Charlotte, Hille Jennifer, Hella Jennifer, Barber Kimberly

机构信息

Department of Surgery, Ascension Genesys Hospital, Grand Blanc, MI, USA.

Medical University of the Americas, Devens, MA, USA.

出版信息

Am Surg. 2023 Dec;89(12):6298-6300. doi: 10.1177/00031348231157856. Epub 2023 Feb 18.

Abstract

Traumatic acute subdural hematomas (TASDH) is by far the most common traumatic brain injury in adult patients with blunt trauma, who presented to the Emergency Department (ED). One of the serious sequale of TASDH is the development of Chronic Subdural Hematomas (CSD) with associated deterioration in mental status and convulsion. Studies to identify the risk factors that favors development of chronicity of TASDH are few and inconclusive. As seen in our prior initial study, there were few factors which were common in those who developed chronicity of their TASDH, and we elected to expand our pool of patients to include those admitted between the years of 2015 and 2021 with ATSDH and identify the common factors associated with development of CSD.

摘要

创伤性急性硬膜下血肿(TASDH)是目前成年钝性创伤患者中最常见的创伤性脑损伤,这些患者会前往急诊科(ED)就诊。TASDH的严重后遗症之一是慢性硬膜下血肿(CSD)的形成,并伴有精神状态恶化和抽搐。确定有利于TASDH慢性化发展的危险因素的研究较少且尚无定论。正如我们之前的初步研究所显示的,在那些TASDH发生慢性化的患者中,很少有共同因素,因此我们选择扩大患者群体,纳入2015年至2021年间收治的ATS-DH患者,并确定与CSD发生相关的共同因素。

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