摘要
目的 :研究两年龄组 ,即 5 0岁以下组 (≤ 5 0岁 )和 70岁以上组 (≥ 70岁 )病人慢性硬膜下血肿的临床特点。方法 :回顾分析 1992～ 2 0 0 1年经CT/MRI诊断并经手术治疗的慢性硬膜下血肿 115例 ,根据年龄分成两组 :5 0岁以下组 48例 ;70岁以上组 6 7例。结果 :5 0岁以下组病例较 70岁以上组病例 ,有更多外伤史和更长病程 ,但差异无显著性 (P >0 .0 5 ) ;有明显的头痛、头昏 (P <0 .0 5 )和呕吐 (P <0 .0 0 5 )。 70岁以上组病人精神智力和肢体运动障碍的发生率较高 ,差异有显著性 (P <0 .0 0 1)。两组病例手术效果差异无显著性意义 (P >0 .0 5 )。结论 :正确认识两年龄组慢性硬膜下血肿的临床特点 。
Objective: To study the clinical features,etiologically factors, and outcome of chronic Sudbury haematomas(CSDH) in young and old adults.Methods:115 cases of CSDH diagnosed with CT/MRI and surgically treated from 1992 to 2001 in this department were analyzed retrospectively.They were underwent into young adults group(≤50 years,n=48) versus aged adults group(≥70 years,n=67).Results: There were certain characteristics particular to young CSDH patients,for example, higher incidence of headache(P<0.05)and vomiting(P<0.005)and more severe traumatic episodes(P>0.05).The older patients had a more frequency of mental change and motor deficits(P<0.001).The effects of surgical treatment were not statistically different between the two groups(P>0.05).Conclusion:An understanding of the varied clinical presentation of CSDH is essential to improve prognosis and surgical outcome.
出处
《江西医学院学报》
CAS
2002年第5期71-72,共2页
Acta Academiae Medicinae Jiangxi
关键词
慢性硬膜下血肿
年龄
临床特点
chronic subdural haematomas
age
clinical features
