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目的探讨老年慢性硬膜下血肿围手术期的治疗特点。方法回顾性分析87例80岁以上老年人慢性硬膜下血肿的临床资料。结果 17例保守治疗,生存时间半月-9月,生活质量差;70例行单孔钻孔引流术,1例因突发心肌梗死术后16月死亡,余生存时间均在2年以上,生活质量高。结论钻孔引流术是治疗老年人慢性硬膜下血肿的有效方法,加强围手术期管理是手术治疗成功的关键。
Objective To investigate the perioperative characteristics of chronic subdural hematoma in the elderly. Methods The clinical data of 87 patients with chronic subdural hematoma over 80 years old were retrospectively analyzed. Results 17 cases of conservative treatment, half a month to 9 months of life, poor quality of life; 70 cases of single-hole drilling drainage, 1 died of sudden myocardial infarction after 16 months, the remaining survival time of more than 2 years, life high quality. Conclusion Drill drainage is an effective method for the treatment of chronic subdural hematoma in the elderly. Strengthening perioperative management is the key to successful operation.