摘要
目的:探究慢性硬膜下血肿(CSDH)病的临床特点。方法:133例CSDH患者,依据血肿的CT表现分为两组:双侧组(47例)和单侧组(86例)。对两组患者的临床表现、致病因素、CT表现、术后并发症及预后进行比较。结果:双侧CSDH组的恶心呕吐、头痛、步态不稳的症状显著多见于单侧CSDH组(P<0.05)。双侧CSDH组的抗凝及抗血小板药物服用者显著多于单侧CSDH组(P<0.05)。单侧CSDH组的中线移位(CT)发生率显著高于双侧CSDH组(P<0.05)。结论:双侧CSDH常见于有抗凝及抗血小板药物服用史患者;双侧CSDH患者较单侧CSDH患者更易出现颅内压增高症状,而CT上较少出现明显的中线移位。
Aim：To explore the clinical features of 133 patients with chronic subdural hematoma（CSDH）.Methods：The patients were divided into two groups：bilateral CSDH（47 cases） and unilateral CSDH（86 cases）.Clinical presentations,precipitating factors,CT scan findings,postoperative complications,and prognosis of patients were analyzed.Results：The frequency of presenting symptoms of nausea and vomiting,headache,or unsteady gait was significantly greater in bilateral CSDH than in unilateral CSDH（P0.05）.The incidence of usage of anticoagulant and antiplatelet therapy was significantly higher in bilateral CSDH group than in unilateral CSDH group（P0.05）.The frequency of marked midline shift on CT scans was significantly greater in unilateral CSDH than in bilateral CSDH（P0.05）.Conclusion：Bilateral CSDH tended to occur more in patients with anticoagulant or antiplatelet therapy.Compared with patients with unilateral CSDH,patients with bilateral CSDH had more symptoms of increased intracranial pressure and lower incidences of midline shift on CT scans.
出处
《中国临床神经科学》
2011年第4期342-346,共5页
Chinese Journal of Clinical Neurosciences
基金
上海市科委基础研究重点项目(10JC1402300)
关键词
慢性
硬膜下血肿
临床
CT
chronic
subdural hematoma
clinical feature
CT
