Diagnosis and treatment of massive bilateral chronic subdural hematoma in elderly patients by clinical analysis of 25 cases
- VernacularTitle:老年双侧大量慢性硬膜下血肿25例临床分析
- Author:
Zhen WANG
- Publication Type:Journal Article
- Keywords:
Bilateral chronic subdural hematomas;
Drainage trephine
- From:
Chinese Journal of Postgraduates of Medicine
2013;36(z1):64-65
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore particularity of the diagnosis and treatment with massive bilateral chronic subdural hematoma (BCSDH) in elders.Method The clinical data of 25 elders with BCSDH treated in our hospital from 2007 to 2011 were analyzed retrospectively.All patients were examined with computerized tomography (CT) of 25 patients through the bilateral trephined hole.Results Twenty-four patients recovered better,the symptom significantly improved.After operative 1 month,14 patients? hematoma disappear,6 patents only had little bilateral subdural effusion,4 patents only had little unilateral subdural effusion.One patient appeared massive subdural effusion on the second day after operation,the familiality gave up therapy,and the patient was dead.Conclusion CT scanning should be taken before you make correct diagnisis.Bilateral single twist-drill craniostomy with irrigation and drainage is a chief method to massive BCSDH.
