外伤性硬膜下积液的治疗策略  

Evolution and treatment of traumatic subdural effusion

作　　者：马力[1] 贺崇欣[1] 李峰[1] 周良东[1] 夏连贵[1] 卢亦成[2] 张光霁[2] 朱诚[2] 

机构地区：[1]池州市人民医院神经外科,安徽省池州247000 [2]上海第二军医大学长征医院神经外科

出　　处：《中国基层医药》2008年第8期1312-1313,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨外伤性硬膜下积液（TSE）的临床病理变化与治疗策略。方法对66例外伤性硬膜下积液患者的临床资料进行回顾性分析。结果66例患者均临床治愈出院，53例保守治疗；有13例转变成慢性硬膜下血肿（CSDH），其中8例CSDH经手术治愈，5例保守治愈。结论TSE患者不需手术治疗，但若转变成CSDH，血肿量渐增并有症状者可行手术治疗。Objective To explore the evolution and treatment of traumatic subdural effusion（ TSE ）. Methods The clinical materials of 66 patients with TSE were analyzed retrospectively. Results 53 patients were cured with conservative therapy, and other patients were evolved into chronic subdural hematoma（CSDH）. 8 patients with CSDH were cured with surgery and others with conservative therapy. Conclusion Patients with TSE don＇t need surgery,and then patients with clinical characteristics will be operated when TSE evolves into CSDH.

关 键 词：硬膜下积液 血肿 硬膜下 治疗 

分 类 号：R651[医药卫生—外科学]