论文部分内容阅读
目的 探讨慢性硬膜下血肿的临床特点、影像学改变及预后。方法 对 52例初诊为脑血管病的慢性硬膜下血肿的临床表现、CT与MRI等资料及预后进行分析。结果 52例初诊为脑梗死 40例 ,脑出血 1 0例 ,蛛网膜下腔出血 2例。平均年龄 65 .5岁 ,具有脑血管病的特点 ,外伤史较隐匿 ,CT和MRI确诊。手术治疗 37例 ,非手术治疗 1 5例 ,除 1例死亡外 ,余 51例均治愈。结论 慢性硬膜下血肿患者尤其老年患者易与脑血管病相混淆 ,详尽的病史调查及影像学检查有助于确诊。及时治疗预后良好。
Objective To investigate the clinical features, imaging changes and prognosis of chronic subdural hematoma. Methods 52 cases of newly diagnosed chronic subdural hematoma of cerebrovascular disease clinical manifestations, CT and MRI data and prognosis were analyzed. Results 52 cases were newly diagnosed as cerebral infarction in 40 cases, cerebral hemorrhage in 10 cases and subarachnoid hemorrhage in 2 cases. The average age of 65.5 years old, with the characteristics of cerebrovascular disease, history of trauma is more hidden, CT and MRI confirmed. Surgical treatment of 37 cases, non-surgical treatment of 15 cases, with the exception of one case of death, more than 51 cases were cured. Conclusion Patients with chronic subdural hematomas, especially elderly patients, are easily confused with cerebrovascular diseases. Detailed medical history and imaging studies are helpful for the diagnosis. Prompt treatment of good prognosis.