Mauser H W, Tulleken C A
Clin Neurol Neurosurg. 1984;86(4):255-63. doi: 10.1016/0303-8467(84)90286-5.
The data of 48 patients with a subdural empyema, treated in the period 1946-1980, have been reviewed in order to evaluate factors that influenced the outcome. A delay in diagnosis and surgical treatment, plus a severe disturbance of consciousness at the moment of surgery, all had a negative bearing on the subsequent outcome. The mode of operation also had an influence on the outcome in this series. In those patients with a severely disturbed level of consciousness at the time of surgery, the outcome was more favourable if multiple burr-holes were performed rather than a craniotomy. In patients with a minor disturbance of consciousness, however, this difference was not apparent.
对1946年至1980年期间治疗的48例硬脑膜下积脓患者的数据进行了回顾，以评估影响预后的因素。诊断和手术治疗的延迟，以及手术时意识的严重障碍，均对随后的预后产生负面影响。手术方式对本系列患者的预后也有影响。在手术时意识严重障碍的患者中，采用多个钻孔术而非开颅术的预后更有利。然而，在意识轻度障碍的患者中，这种差异并不明显。
