In the elderly diagnosis and treatment of chronic subdural hematoma.docVIP

 PAGE \* MERGEFORMAT 4 In the elderly diagnosis and treatment of chronic subdural hematoma [Keyword] in elderly patients with chronic subdural hematoma Chronic subdural hematoma, especially in elderly patients with chronic subdural hematoma, because the symptoms are not typical and increased diagnostic difficulties our hospital from 1985 to 2007, these were treated in 32 patients, are as follows. 1 Clinical data 1.1 General Information The group of 27 males and 5 females, ranging in age from 45 to 78 year-old range, with an average age of 56.2 years of which have a more definite history of trauma in 21 cases, suspicious history of trauma in 3 patients, the diagnosis time from two months ~ 3.5 years, and average of 110 days. 1.2 clinical The group of 32 patients, unilateral hematoma in 28 cases, bilateral in 4 cases. Hematoma volume less than 50 mL in 5 cases, 50 ~ 100 mL in 7 patients, greater than 100 mL in 20 cases. 1.3 auxiliary examination Lumbar puncture in 10 cases; 4 cases in which the normal pressure, high pressure in 6 patients. EEG in 18 cases; 8 cases in which normal, mildly abnormal in 4 cases, moderately abnormal in 6 patients. Fundus examination 16 cases , which was changed in 6 patients aged sclerosis, optic disc edema was mild to moderate in 6 cases, normal in 4 cases, all 32 patients were finally diagnosed by CT scan which showed a high density of hematoma volume in 7 cases, showed a low density in 25 cases. Links to free download 1.4 Treatment All patients were diagnosed by hospital treatment after which the line closed drainage holes in 25 cases, surgical removal of hematoma in 7 cases. After external drainage bag, under the premise of monitoring intracranial pressure, take the first low-pin-high 15 to 30 degrees. Conventional Enter saline 1 000 mL, promote brain inward board side, the elimination of residual cavity after operation re-emergence of hematoma in 1 patient outside, I have good effect. 2 Disc