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影响急性硬膜下血肿预后的因素。330例病例回顾。

Factors influencing the outcome in acute subdural haematoma. A review of 330 cases.

作者信息

Klun B, Fettich M

出版信息

Acta Neurochir (Wien). 1984;71(3-4):171-8. doi: 10.1007/BF01401312.

DOI:10.1007/BF01401312
PMID:6741634
Abstract

A series of 330 consecutive patients with acute subdural haematomas has been selected to analyze the clinical signs which influence the outcome. To assure a uniformity, the material dates from before the CT era. Four main factors have been selected: age, pupillary changes, dynamics of the clinical development, and the state of consciousness. The importance and the characteristics of different factors are discussed. A simple grading system, which was used as a prognostic orientation guide, is presented. Finally, some prognostic conclusions are made.

摘要

选取了连续330例急性硬膜下血肿患者,以分析影响预后的临床体征。为确保一致性,资料来源于CT时代之前。选取了四个主要因素:年龄、瞳孔变化、临床发展动态及意识状态。讨论了不同因素的重要性和特征。提出了一个简单的分级系统,用作预后导向指南。最后得出了一些预后结论。

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1
Factors influencing the outcome in acute subdural haematoma. A review of 330 cases.影响急性硬膜下血肿预后的因素。330例病例回顾。
Acta Neurochir (Wien). 1984;71(3-4):171-8. doi: 10.1007/BF01401312.
2
[Course dynamics and early prognosis in traumatic intracranial hemorrhage. II. Subdural hematoma].
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The clinical relevance of ABO blood type in 100 patients with acute subdural hematoma.100 例急性硬膜下血肿患者的 ABO 血型的临床相关性。
PLoS One. 2018 Oct 4;13(10):e0204331. doi: 10.1371/journal.pone.0204331. eCollection 2018.
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Predictors for functional recovery and mortality of surgically treated traumatic acute subdural hematomas in 256 patients.256例手术治疗创伤性急性硬膜下血肿患者功能恢复和死亡率的预测因素
J Korean Neurosurg Soc. 2009 Mar;45(3):143-50. doi: 10.3340/jkns.2009.45.3.143. Epub 2009 Mar 31.
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One hundred and twenty-seven cases of acute subdural haematoma operated on. Correlation between CT scan findings and outcome.

本文引用的文献

1
The outcome from acute subdural haematoma following decompressive hemicraniectomy.减压性颅骨切除术治疗急性硬膜下血肿的疗效
Acta Neurochir (Wien). 1980;54(1-2):61-9. doi: 10.1007/BF01401944.
2
Traumatic acute subdural hematoma: major mortality reduction in comatose patients treated within four hours.创伤性急性硬膜下血肿:昏迷患者在4小时内接受治疗可显著降低死亡率。
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硬膜外和硬膜下血肿。澳大利亚治疗模式与需求的变化
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Factors affecting survival from subdural hematoma.影响硬膜下血肿患者生存的因素。
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Surgical management of acute subdural hematomas.急性硬膜下血肿的外科治疗
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Acute subdural hematomas. Review of 144 cases.
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Outcome following acute subdural haematoma.急性硬膜下血肿后的结局
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