Dronfield M W, Mead G M, Langman M J
Postgrad Med J. 1977 Feb;53(616):57-60. doi: 10.1136/pgmj.53.616.57.
All patients with subdural haematoma presenting to medical wards in Nottingham over a 5-year period have been reviewed. Of twenty-one such patients eight were first diagnosed at post-mortem, whilst all of the remaining thirteen patients in whom the diagnosis was made in life survived following neurosurgical evacuation of the haematoma. Diagnostic failure was caused mainly by failure to consider the possibility of subdural haematoma or misinterpretation of negative investigations. An attempt has been made to characterize the clinical patterns that may suggest the presence of a subdural haematoma, and recommendations are made on the investigation of such patients.
对诺丁汉市各内科病房在5年期间收治的所有硬膜下血肿患者进行了回顾性研究。在这21例患者中，有8例是在尸检时首次确诊的，而其余13例生前确诊的患者在接受神经外科血肿清除术后均存活。诊断失败主要是由于未考虑硬膜下血肿的可能性或对阴性检查结果的错误解读。本文试图描述可能提示硬膜下血肿存在的临床模式，并对这类患者的检查提出建议。
