自发性椎管内硬膜外血肿2例诊治分析  

Diagnose and treatment for spontaneous spinal epidural hematoma:2 cases report

作　　者：齐勇[1] 李贵涛[1] 武光勤[1] 徐汪洋[1] 余俊喜[1] 

机构地区：[1]广东省第二人民医院骨科,510317

出　　处：《中国实用医药》2009年第2期57-58,共2页China Practical Medicine

摘　　要：目的探讨总结自发性椎管内硬膜外血肿的诊疗方法,提高对于自发性椎管内硬膜外血肿的临床诊治水平。方法对自2007年6月以来收治的2例自发性椎管内硬膜外血肿患者的临床诊治资料,包括病因、发病过程、临床表现以及手术后患者康复情况进行回顾性分析。结果2例患者起病情况、出血部位以及脊髓受压时间等不同,导致患者术后康复存在明显差异。结论对于自发性椎管内硬膜外血肿患者,尽快完善MRI检查,明确诊断,尽早手术是获得最大程度功能康复的关键。Objective To summarize the method of diagnose and treatment for spontaneous spinal epidural hematoma（SSEP）. Methods We retrospectively studied clinical information of 2 cases who suffered SSEP, including：cause of hematomas, the process of invasion, the clinical manifestation and the results after operation. Results There were differences between 2 cases in the following aspects： process of disease invasion , bleeding parts, duration of the compression of spine cord. All these resulted in the different outcome in two cases. Conclusions MRI is admitted when a patient is suspected to suffered with SSEP. Once the diagnose is clear, the surgery shoug be carried out as soon as possible.

关 键 词：自发性椎管内硬膜外血肿 手术治疗 预后 

分 类 号：R246[医药卫生—针灸推拿学]