Chronic subdural haematoma:: surgical treatment and outcome in 1000 cases
Chronic subdural haematoma:: surgical treatment and outcome in 1000 cases
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DOI：
10.1016/j.clineuro.2004.09.015
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发表时间：
2005-04-01
影响因子：
1.9
通讯作者：
Martínez-Rumbo, R
中科院分区：
文献类型：
--
作者：
Gelabert-González, M;Iglesias-Pais, M;Martínez-Rumbo, R
慢性硬膜下血肿（CSDH）是日常神经外科实践中最常见的临床实体之一。为了评价其临床特征、CT表现、手术结果和并发症，我们对1980-2002年1000例慢性硬膜下血肿患者的1097例进行了回顾性研究，这些患者均接受了钻孔开颅闭式引流术。该系列包括628名男性和372名女性，年龄范围12-100岁，平均年龄72.7 ± 11.4岁。从创伤到出现临床症状的平均时间间隔为49.1 ± 7.4天（15-751）。70岁以上以头痛为主（29.7%），70岁以下以行为障碍为主（33.8%）。CSDH右侧432例，左侧471例，双侧97例。术后发生并发症196例，死亡21例。预后不良与患者年龄（> 70岁）和入院时的临床分级（0-2级与3-4级）有关。(c)2004 Elsevier B. V.保留所有权利。
Chronic subdural haematoma (CSDH) is one of the most common clinical entities in daily neurosurgical practice. To evaluate the clinical features, computed tomography findings, surgical results, and complications our series was statistically analysed to elucidate the factors affecting the post-operative outcome.A retrospective study (1980-2002) of the records of 1000 patients harbouring 1097 chronic subdural haematoma treated with burr-hole craniotomy with closed-system drainage was carried out. The series included 628 males and 372 females, age range 12-100 years, mean age 72.7 +/- 11.4 years. The mean interval from trauma to appearance of clinical symptoms was 49.1 +/- 7.4 days (15-751). The principal symptom was headache (29.7%) in the over 70s, and behavioural disturbance (33.8%) in the under 70s. The CSDH was right sided in 432 patients, left sided in 47 1, and bilateral in the remaining 97 cases. Post-operative complications occurred in 196 patients and 21 patients died in hospital. Poor prognosis was related to patient's age (> 70) and clinical grade on admission (grades 0-2 versus grades 3-4). (c) 2004 Elsevier B.V. All rights reserved.