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硬膜外血肿

Epidural hematomas.

作者信息

Reale F, Delfini R, Mencattini G

出版信息

J Neurosurg Sci. 1984 Jan-Mar;28(1):9-16.

PMID:6470802
Abstract

A consecutive unselected series of 66 patients operated on for epidural hematoma between 1974 and 1981 is presented. Several parameters (age, sex, etc.) are analyzed and compared with those of the literature. The outcome is referred and discussed. The mortality rate was 18%. These were the 5 factors that most influence the outcome: (1) patient's age; (2) rate of development of the hematoma; (3) associated brain lesions; (4) neurological status at the time of surgery; (5) interval between injury and surgery. The introduction of Computed Tomography (CT) in neurotraumatological practice, has been followed by improvement of the results also in epidural hematomas.

摘要

本文呈现了1974年至1981年间连续选取的66例接受硬膜外血肿手术的患者。分析了几个参数(年龄、性别等)并与文献中的参数进行比较。对结果进行了提及和讨论。死亡率为18%。以下是对结果影响最大的5个因素:(1)患者年龄;(2)血肿发展速度;(3)相关脑损伤;(4)手术时的神经状态;(5)受伤与手术之间的间隔时间。计算机断层扫描(CT)在神经创伤学实践中的引入,也使硬膜外血肿的治疗结果得到了改善。

相似文献

1
Epidural hematomas.硬膜外血肿
J Neurosurg Sci. 1984 Jan-Mar;28(1):9-16.
2
The management of "asymptomatic" epidural hematomas. A prospective study.“无症状”硬膜外血肿的管理。一项前瞻性研究。
J Neurosurg. 1989 Mar;70(3):392-6. doi: 10.3171/jns.1989.70.3.0392.
3
[Extradural hematoma of the posterior fossa. Report of 7 cases].[后颅窝硬膜外血肿。7例报告]
Arq Neuropsiquiatr. 1993 Jun;51(2):243-6. doi: 10.1590/s0004-282x1993000200016.
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Characteristics of the treatment of the epidural hematomas in infancy and childhood.婴幼儿及儿童硬膜外血肿的治疗特点
Zentralbl Neurochir. 1985;46(3):243-50.
5
[Diagnosis and treatment of delayed intracranial hematoma].
Zhonghua Wai Ke Za Zhi. 1989 Nov;27(11):674-5, 702.
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Observations on 82 patients with extradural hematoma. Comparison of results before and after the advent of computerized tomography.82例硬膜外血肿患者的观察。计算机断层扫描出现前后结果的比较。
J Neurosurg. 1981 Feb;54(2):179-86. doi: 10.3171/jns.1981.54.2.0179.
7
Acute epidural hematoma: an analysis of factors influencing the outcome of patients undergoing surgery in coma.急性硬膜外血肿:昏迷患者手术预后影响因素分析
J Neurosurg. 1988 Jan;68(1):48-57. doi: 10.3171/jns.1988.68.1.0048.
8
Traumatic epidural hematomas in children and adolescents: outcome analysis in 39 consecutive unselected cases.儿童和青少年创伤性硬膜外血肿:39例连续非选择性病例的结果分析
Pediatr Emerg Care. 2009 Mar;25(3):164-9. doi: 10.1097/PEC.0b013e31819a8966.
9
[Development of acute epidural hematoma].
Neurochirurgia (Stuttg). 1984 May;27(3):66-7. doi: 10.1055/s-2008-1053731.
10
Surgical Closed Suction Drain Use After Craniotomy for Evacuation of Supratentorial Epidural Hematomas: A Case Series of Radiographic and Clinical Outcomes.开颅术后应用外科封闭式负压引流清除幕上硬膜外血肿:影像学和临床结果的病例系列研究。
World Neurosurg. 2020 Feb;134:e460-e468. doi: 10.1016/j.wneu.2019.10.098. Epub 2019 Oct 24.

引用本文的文献

1
Evidence-based assessment of well-established interventions: the parachute and the epidural hematoma.对成熟干预措施的循证评估:降落伞与硬膜外血肿。
Neurosurgery. 2014 Nov;75(5):552-9; discussion 559. doi: 10.1227/NEU.0000000000000504.
2
Extradural haematoma. Report of 37 consecutive cases with survival.
Acta Neurochir (Wien). 1994;131(3-4):207-10. doi: 10.1007/BF01808614.
3
Statistical analysis of the factors affecting the outcome of extradural haematomas: 115 cases.
Acta Neurochir (Wien). 1994;131(3-4):203-6. doi: 10.1007/BF01808613.
4
Delayed post-traumatic epidural hematoma. A review.
Neurosurg Rev. 1995;18(2):109-22. doi: 10.1007/BF00417668.