青年人慢性硬膜下血肿的病因及诊治 (pdf)

    【摘要】 目的 探讨青年人慢性硬膜下血肿的发病机制及手术治疗。方法 本组采用单孔钻颅置双管冲洗引流术，术中用生理盐水反复冲洗血肿腔，闭式引流72h。结果 全组病例术后临床症状迅速改善，术后72h复查，12例残留少量血肿，2例颅内积气，术后2个月复查，均吸收，随访1年，无复发。结论 青年人慢性硬膜下血肿应充分认识其发病机制及临床表现，避免误诊。单孔钻颅置双管冲洗引流术创伤小，疗效明确，恢复快，可作为青年人慢性硬膜下血肿的首选治疗。

    【关键词】 青年人；慢性硬膜下血肿； 病因； 手术治疗

    【Abstract】 Objective To discuss the pathogenesis and surgical treatment of chornic subdural hematoma(CSDH) in adolescent. Methods Treated by burr hole irrigation and drainage(BHID) with two tubes in one hole, repeatly irrigated the hematoma cavity with normal saline and continuously drained for 72 hours with closed-system drainage. Results All the clinic pictures were promptly improved. Counterchecked in 72 hours after operation: 12 cases had little hematoma, 2 cases had pneumoencephalus. They were absorbed in two months later. Follow-up with one year, no recurrence. Conclusion For CSDH in adolescent, we should be fully convinced of the pathogenesis and clinic picture which can avoid misdiagnosis. BHID with two tubes in one hole can be used as the primitive method in CSDH in adolescent with its merits on quickly-recuperation and slightly-traumatic. ......