Chronic Subdural Hematoma in the Elderly: A Challenge in Diagnosis and Treatment
Chronic Subdural Hematoma in the Elderly: A Challenge in Diagnosis and Treatment
复制标题
老年人慢性硬膜下血肿：诊断和治疗的挑战
DOI：
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发表时间：
1972
影响因子：
6.3
通讯作者：
S. R. Weiss
中科院分区：
文献类型：
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作者：
R. Raskind;M. Glover;S. R. Weiss
本文报告52例老年慢性硬膜下血肿。这个年龄组的诊断困难增加，因为许多老年人不能提供连贯的病史，并且由于伴随的血管和其他退行性疾病，经常表现出中枢神经系统变化的迹象。即使在老年人中，慢性硬膜下血肿也可以通过手术方法治愈。在该系列中，39例患者恢复正常功能，9例恢复到以前的功能水平; 3例失访;仅1例术后恶化;无死亡。结果不佳几乎总是由于诊断延误。因此，非常重视诊断程序和及时治疗的重要性。
This report concerns 52 elderly patients with chronic subdural hematoma. Difficulties in diagnosis are enhanced in this age group because many of the elderly cannot give a coherent history and often manifest signs of changes in the central nervous system due to concomitant vascular and other degenerative diseases. Even in aged persons, chronic subdural hematoma is curable by surgical methods. In this series 39 patients were restored to normal function, and 9 to the previous level of function; 3 were lost to follow‐up; and only 1 was worse after surgery; there were no deaths. Poor results are almost always attributable to delay in diagnosis. Hence the importance of paying great attention to diagnostic procedures, and prompt treatment.