慢性硬膜下血肿误诊为硬膜外血肿临床分析  

Clinical Analysis of Chronic Subdural Hematoma Misdiagnosed as Epidural Hematoma

作　　者：刘小波[1] 林爱国[1] 何程[1] 唐宏图[1] 周鸿伟[1] 魏厚禄[1] 

机构地区：[1]遂宁市第一人民医院,四川遂宁629000

出　　处：《中外医学研究》2015年第6期52-53,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的：分析慢性硬膜下血肿误诊为硬膜外血肿的情况。方法：回顾性分析2010年5月-2014年5月笔者所在科收治的9例CT报告为硬膜外血肿但术后证实为慢些硬膜下血肿患者的临床表现、术中情况及影像学资料。早期2例患者仅根据CT表现行开颅骨瓣成形血肿清除术,术中发现为慢些硬膜下血肿。后期7例直接行钻孔引流术,术中证实硬膜下血肿诊断。结果：经随访1~3个月,9例患者均一次治愈。结论：诊断慢些硬膜下血肿不能仅凭CT影像,应结合临床,误诊后积极处理预后好。Objective：To analyse the causes of chronic subdural hematoma misdiagnosed as epidural hematoma.Method：9 patients with chronic subdural hematom（CSDH） treated in our department from May 2010 to May 2014 which were misdiagnosed as epidural hematoma were selected.The medical records,such as clinical manifestation,situation in operation,imaging data were retrospectively reviewed.2 cases had craniotomy hematoma removal operation,7 cases had drilling drainage operation.,which all been diagnosed with chronic subdural hematoma during surgery.Result：During the follow-up of 1-3 months,9 patients were cured.Conclusion：To accurately diagnose chronic subdural hematoma,CT is not the only basis,the clinical circumstance must be considered.The prognosis is good after active treatment.

关 键 词：血肿 硬膜下 硬膜外 误诊 

分 类 号：R651.15[医药卫生—外科学]