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首页> 外文期刊>Neurologia medico-chirurgica. >Retrospective analysis of operative treatment of a series of 100 patients with subdural hematoma.
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Retrospective analysis of operative treatment of a series of 100 patients with subdural hematoma.

机译：回顾性分析100例硬膜下血肿患者的手术治疗。

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摘要

This retrospective study of medical records, surgical protocols, patient observation cards, and imaging files of 100 patients treated for subdural hematoma analyzed the type of hematoma, patient age and sex, operative technique, neurological status, cause of injury, duration of hospital stay, mortality rate, and the number of and reasons for reoperations to determine the effects on treatment outcomes. The time between the head injury and onset of neurological symptoms was analyzed versus the type of hematoma determined from computed tomography (CT) scans. Acute hematomas accounted for 38% of the cases, with subacute hematomas representing 20%, and chronic ones accounting for 42%. In trauma patients, the mean time interval between the injury and onset of neurological symptoms was 0.38 days for acute hematomas, 13.8 days for subacute hematomas, and 23.75 days for chronic hematomas. Repeat surgery was carried out in 26% of the cases. Improvement was obtained in 44% of cases, deterioration in 20%, and no change in neurological status in 36%. Timing of the operations was between 15:00 and 23:00 in 45%, between 23:00 and 7:00 in 33%, and between 7:00 and 15:00 in 22%. The classification of hematomas based on CT presentation corresponds to the classification based on the time elapsed between injury and onset of symptoms, and appears to be appropriate and useful in everyday practice. No preceding injury was identified in 31.6% of acute hematomas, 50% of subacute hematomas, and 61.9% of chronic hematomas. Analysis of reoperations indicates that trepanation may be superior to craniotomy as primary surgery for subacute and chronic hematomas. Subdural hematoma surgeries take place at all times of the day, with most carried out outside the usual working hours.
机译：这项回顾性研究包括100例接受硬膜下血肿治疗的患者的病历，手术方案，患者观察卡和影像文件，分析了血肿的类型，患者的年龄和性别，手术技术，神经系统状况，受伤原因，住院时间，死亡率，再次手术的次数和原因以确定对治疗结果的影响。分析了头部受伤与神经系统症状发作之间的时间，以及通过计算机断层扫描（CT）扫描确定的血肿类型。急性血肿占病例的38％，亚急性血肿占病例的20％，慢性血肿占病例的42％。在创伤患者中，急性血肿在损伤与神经系统症状发作之间的平均时间间隔为0.38天，亚急性血肿为13.8天，慢性血肿为23.75天。 26％的病例进行了重复手术。 44％的病例得到了改善，20％的病例得到了改善，36％的病人的神经系统状况没有改变。作业时间为15:00至23:00（占45％），23:00至7:00（占33％）和7:00至15:00（占22％）。基于CT表现的血肿分类对应于基于伤害和症状发作之间时间的分类，并且似乎在日常实践中是适当和有用的。在31.6％的急性血肿，50％的亚急性血肿和61.9％的慢性血肿中未发现先前的损伤。对再次手术的分析表明，对于亚急性和慢性血肿，作为主要手术，术式可能优于开颅手术。硬膜下血肿手术在一天中的所有时间进行，大多数在正常工作时间以外进行。

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