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[自发性脊髓硬膜外血肿:延迟治疗后预后良好]

[Spontaneous spinal epidural hematoma: good outcome after delayed treatment].

作者信息

Buhl R, Kretschmer H

机构信息

Neurochirurgische Abteilung, Knappschaftskrankenhaus Recklinghausen Akademisches Lehrkrankenhaus der Ruhr Universität Bochum.

出版信息

Zentralbl Neurochir. 1998;59(2):109-12.

PMID:9674100
Abstract

Spinal epidural haematomas are rare and are often encountered after previous operations on spinal disease and in combination with anticoagulation therapy. Usually early diagnosis and surgical treatment are the most important factors for a good result and neurological recovery. In 4 cases of spinal epidural haematoma treated in our institution, we found that also after some delay of diagnosis and treatment, surgery is always worthwhile even after some days to achieve a better neurological function.

摘要

脊髓硬膜外血肿较为罕见,常在既往脊髓疾病手术后以及与抗凝治疗联合应用时出现。通常,早期诊断和手术治疗是取得良好疗效及神经功能恢复的最重要因素。在我院治疗的4例脊髓硬膜外血肿病例中,我们发现,即便诊断和治疗有所延迟,即使在数天后进行手术,对于改善神经功能而言也总是值得的。

相似文献

1
[Spontaneous spinal epidural hematoma: good outcome after delayed treatment].[自发性脊髓硬膜外血肿:延迟治疗后预后良好]
Zentralbl Neurochir. 1998;59(2):109-12.
2
Spontaneous spinal epidural haematoma: a cautionary tale.自发性脊髓硬膜外血肿:一则警示故事。
Arch Emerg Med. 1993 Dec;10(4):339-42. doi: 10.1136/emj.10.4.339.
3
[Spontaneous spinal epidural hematoma].[自发性脊柱硬膜外血肿]
Nervenarzt. 1984 Feb;55(2):96-8.
4
[A patient with a cervically located epidural hematoma due to anticoagulant treatment].
Ned Tijdschr Geneeskd. 1986 Nov 22;130(47):2134-5.
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Spontaneous spinal extradural hematoma in children. Report of three cases and a review of the literature.儿童自发性脊髓硬膜外血肿。三例报告并文献复习。
Childs Nerv Syst. 1992 Feb;8(1):53-5. doi: 10.1007/BF00316564.
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Spontaneous spinal epidural haematomas with repeated remission and relapse.自发性脊柱硬膜外血肿伴反复缓解与复发。
Neuroradiology. 1997 Oct;39(10):737-40. doi: 10.1007/s002340050498.
7
Spontaneous spinal epidural hematoma.自发性脊柱硬膜外血肿
Zentralbl Neurochir. 1990;51(3):164-5.
8
Spontaneous spinal epidural hematoma: report of a case with complete recovery.自发性脊髓硬膜外血肿:一例完全康复的病例报告。
Surg Neurol. 1980 Oct;14(4):263-5.
9
Successful conservative management of spontaneous spinal extradural haematoma.
Br J Neurosurg. 1993;7(2):209-11. doi: 10.3109/02688699309103482.
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[Acute spontaneous epidural hematoma of the thoracic segment of the spinal canal].[椎管胸段急性自发性硬膜外血肿]
Neurol Neurochir Pol. 1992 Mar-Apr;26(2):257-61.

引用本文的文献

1
[The spontaneous spinal epidural haematoma].[自发性脊髓硬膜外血肿]
Unfallchirurg. 2007 Apr;110(4):355-9. doi: 10.1007/s00113-006-1194-2.