9 cases of subdural effusion secondary to chronic subdural hematoma（继发于慢性硬脑膜下血肿9例硬膜下积液）.docVIP

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9 cases of subdural effusion secondary to chronic subdural hematoma（继发于慢性硬脑膜下血肿9例硬膜下积液）.doc

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9 cases of subdural effusion secondary to chronic subdural hematoma（继发于慢性硬脑膜下血肿9例硬膜下积液）

9 cases of subdural effusion secondary to chronic subdural hematoma [Keywords:] subdural effusion subdural hematoma secondary to surgical treatment 1 clinical data 199 802/2007 01 treated subdural effusion and chronic subdural hematoma (male, 8, and 1 female, age 41 to 84 (mean 69.2 years. Unilateral lesions in 7 cases, bilateral in 2 cases (including cases of single side of incidence of 70-year-old female patient with concomitant epidural hematoma; four cases have a clear history of trauma, the other five cases no obvious history of trauma, but have different levels of symptoms such as headaches, poor response, memory loss, limb weakness, step state unstable. subdural effusion diagnosed after injury to the status quo 1 wk to 1 month (average 18.2 days of chronic subdural hematoma diagnosed 21 d ~~ 4 mo (61.5 d. hematoma volume Tada formula to calculate the single side 40 to 80 mL in patients with CT diagnosed two cases of MRT line diagnostic preoperative GCS score of 9 points or more nine cases, seven cases of local anesthesia, the downstream burr holes hematomal the drainage, 1 patient (male, 84 years old, dual cases of frontal top of chronic subdural hematoma up to 150 mL in the intravenous anesthesia bilateral burr holes hematomal the drainage, 1 patient (female, 70-year-old single cases made combined epidural hematoma intravenous anesthesia bone clear the drainage of the flap hematoma and intraoperative attention to the hematoma cavity carefully washed to flush the salt water clear, drilling, location of high full exhaust, 2,5,7 d after routine review of CT for all patients after surgery, the state of consciousness 5 ~ 7 d significantly improved, GCS score 13 above, review the head pressure of brain tissue in CT reexpansion of ablation area with varying degrees of water density placeholder and a small amount of product gas (volume about 30 mL. postoperative drainage tubes were removed, CT Check the operating area placeholder lt;10 mL. patients were foll