Subdural hematoma in the elderly person.
Subdural hematoma in the elderly person.
复制标题
老年人硬膜下血肿。
DOI：
10.1001/jama.1958.03000110019006
复制
发表时间：
1958
影响因子：
--
通讯作者：
K. Welch
中科院分区：
文献类型：
--
作者：
P. Stuteville;K. Welch
回顾75例手术或尸检证实为硬膜下血肿的65岁以上患者的病历，研究硬膜下血肿的病程。这些症状很容易被误认为是脑部老年性变性、脑血管疾病或其他疾病。在接受手术的30例患者中，17例存活并好转，而45例未接受手术的患者观察到的典型病程是平静的、逐渐下降的，经常以猝死和意外死亡终止。说明了早期诊断和及时手术的重要性。虽然老年患者硬膜下血肿是一种隐匿性疾病，但考虑到这种情况，努力利用血管造影术等诊断手段，并更容易地采用手术探查，可能会提高诊断的准确性。
The course of subdural hematoma was studied by reviewing the hospital records of 75 patients, 65 years of age or older, in whom the condition was demonstrated either at operation or at autopsy. The symptoms were such that the condition might easily have been mistaken for senile degeneration of the brain, cerebral vascular disease, or other conditions. Of the 30 patients who underwent operation, 17 survived and improved, while the typical course observed in 45 patients who did not undergo operation was a quiet, gradual decline, frequently terminated by sudden and unexpected death. The importance of early diagnosis and prompt operation was demonstrated. Although subdural hematoma in the elderly patient is a subtle disease, frequently disguised, it may be possible to increase the accuracy of diagnosis by keeping this condition in mind, diligently utilizing such diagnostic means as angiography, and resorting more readily to surgical exploration.