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CT扫描时代的慢性硬膜下血肿

Chronic subdural haematoma in the CT scan era.

作者信息

Nath F, Mendelow A D, Wu C C, Hessett C, Caird F, Jennett B

出版信息

Scott Med J. 1985 Jul;30(3):152-5. doi: 10.1177/003693308503000305.

Abstract

One hundred and fifty patients with chronic subdural haematoma were studied with respect to clinical features, investigation and outcome. Those patients aged 65 years and over did not differ significantly in either outcome or clinical features from the rest. The outcome in this series of patients, managed after CT scanning became the standard method of investigation, was no better than in previous studies. The only factor which did influence outcome was the level of responsiveness on admission. The overall mortality in this study was 6 per cent. CT scanning does not therefore result in improved results in patients with chronic subdural haematoma; this may rather depend upon better selection of patients for CT scanning.

摘要

对150例慢性硬膜下血肿患者的临床特征、检查及预后进行了研究。65岁及以上的患者在预后或临床特征方面与其他患者无显著差异。在CT扫描成为标准检查方法后对这组患者进行治疗,其预后并不比以前的研究更好。唯一影响预后的因素是入院时的反应水平。本研究的总死亡率为6%。因此,CT扫描并不能改善慢性硬膜下血肿患者的治疗效果;这可能更多地取决于对进行CT扫描的患者的更好选择。

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