Duffner F, de Zwart P, Bitzer M, Will B
Abteilung für Neurochirurgie, Universität Tübingen.
Aktuelle Traumatol. 1993 Dec;23(8):345-9.
During an 8-year period, fifteen patients with subacute or chronic epidural haematoma were seen among 110 treated cases of extradural haematoma corresponding to a frequency of 13.6%. Increasing headache, nausea, vomiting, mild drowsiness and cranial nerve palsy were the symptoms resulting in the correct diagnosis in most cases. Clinical and pathological findings are described, and the factors influencing the course of events are discussed. The most important factors are cerebral atrophy, age, source of bleeding and location. By means of early CT (computed tomography) diagnosis of haematoma, fatal outcome could be prevented in most of the cases.
在8年期间,110例硬膜外血肿治疗病例中有15例为亚急性或慢性硬膜外血肿,发生率为13.6%。大多数病例中,头痛加剧、恶心、呕吐、轻度嗜睡和脑神经麻痹等症状导致了正确诊断。本文描述了临床和病理发现,并讨论了影响病情发展的因素。最重要的因素是脑萎缩、年龄、出血来源和位置。通过早期CT(计算机断层扫描)诊断血肿,大多数病例可避免致命后果。