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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Clinical Investigation of Acute Spontaneous Subdural Hematoma Cases
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Clinical Investigation of Acute Spontaneous Subdural Hematoma Cases

机译：急性自发性硬膜下血肿病例的临床研究

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Background: Acute spontaneous subdural hematomas of arterial origin without any traumatic history or vascular anomaly are rarely reported. Here, we report our series of 6 patients with acute spontaneous subdural hematoma. Methods: All patients with acute spontaneous subdural hematoma were surgically treated at our hospital between January 1994 and December 2003. Each patient's constitution, medical history, clinical findings, intraoperative findings, complications, and outcomes were reviewed. Results: The patients were 5 men and 1 woman with a mean age of 53.0 years (range 32-82). Two of the 6 patients had histories of head injury with onset more than 10 years earlier. Other medical histories included hepatitis C, dementia, alcoholism, and hypertension in one patient each. Initial symptoms were rapidly progressive disturbance of consciousness in 5 patients. Surgical operation was performed in all patients, and the bleeding points were identified as ruptures of cortical arteries located near the sylvianfissure. One patient completely recovered, one had a moderate deficit, two had severe deficits, one fell into a vegetative state, and one died (mortality was 16.7%). Conclusion: In many cases, the patients suddenly fell into a serious disturbance of consciousness at the onset, and the outcomes were poor. We emphasize that a very early operation is required for a good outcome.
机译：背景：很少有急性自发性硬脑膜硬膜下血肿，无任何外伤史或血管异常。在此，我们报告了6例急性自发性硬脑膜下血肿患者。方法：1994年1月至2003年12月在我院手术治疗所有急性自发性硬脑膜下血肿患者。对每例患者的体质，病史，临床表现，术中发现，并发症和结局进行回顾。结果：患者为5名男性和1名女性，平均年龄为53.0岁（范围32-82）。 6例患者中有2例具有10年前发病的颅脑损伤史。其他医学史包括每位患者中的丙型肝炎，痴呆，酒精中毒和高血压。最初的症状是5例患者的意识迅速进行性障碍。所有患者均进行了外科手术，出血点被识别为位于肩裂附近的皮质动脉破裂。一名患者完全康复，一名患有中度赤字，两名患有严重赤字，一名陷入植物人状态，一名死亡（死亡率为16.7％）。结论：在许多情况下，患者在发作时突然陷入严重的意识障碍，结果差。我们强调要取得良好的效果，必须尽早进行手术。

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