[1]张华军,齐文涛,庄国权,等.非外伤性与外伤性慢性硬膜下血肿的临床特征分析[J].中国临床神经外科杂志,2022,27(12):989-991.[doi:10.13798/j.issn.1009-153X.2022.12.010]
　ZHANG Hua-jun,QI Wen-tai,ZHUANG Guo-quan,et al.Analysis of clinical characteristics of patients with chronic subdural hematoma with and without a history of head trauma[J].,2022,27(12):989-991.[doi:10.13798/j.issn.1009-153X.2022.12.010]
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非外伤性与外伤性慢性硬膜下血肿的临床特征分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
27
期数:
2022年12期
页码:
989-991
栏目:
论著
出版日期:
2022-12-31

文章信息/Info

Title:
Analysis of clinical characteristics of patients with chronic subdural hematoma with and without a history of head trauma
文章编号:
1009-153X（2022）12-0989-03
作者:
张华军; 齐文涛; 庄国权; 段晓春; 曹德茂
116044辽宁大连，大连医科大学研究生院（张华军、庄国权）；225001江苏扬州，扬州大学附属医院神经外科（张华军、齐文涛、庄国权、段晓春、曹德茂）
Author(s):
ZHANG Hua-jun1; 2;  QI Wen-tai2;  ZHUANG Guo-quan1; 2;  DUAN Xiao-chun2;  CAO De-maol2
1. Graduate School, Dalian Medical University, Dalian 116044, China; 2. Department of Neurosurgery, Affiliated Hospital of Yangzhou University, Yangzhou 225001, China
关键词:
慢性硬膜下血肿; 颅脑损伤; 临床特征
Keywords:
Chronic subdural hematoma;  Head trauma;  Clinical characteristics;  prognosis
分类号:
R651.1+5
DOI:
10.13798/j.issn.1009-153X.2022.12.010
文献标志码:
A
摘要:
目的 探讨外伤性和非外伤性慢性硬膜下血肿（CSDH）病人临床特征的差异。方法 回顾性分析2019年6月至2021年12月穿刺引流术治疗的47例CSDH的临床资料。结果 47例中，外伤性CSDH有31例（外伤组），非外伤性16例（非外伤组）。外伤组年龄[（68.06±6.37）岁]明显低于非外伤组[（72.25±5.6）岁；P<0.05]，高血压病史比例（29.03%）和抗凝/抗血小板药物使用比例（6.5%）明显低于非外伤组（分别为68.75％、56.3%；P<0.05），术后3个月Markwalder's分级不良率（6.45%）明显低于非外伤组（31.25%；P<0.05）。结论 非外伤性CSDH病人年龄偏大，抗血小板/抗凝药物使用更为常见，血压偏高，血肿吸收较慢，术后3个月预后较差，值得临床关注。
Abstract:
Objective To investigate the differences in clinical characteristics and prognosis of patients with chronic subdural hematoma (CSDH) with and without a history of head trauma. Methods The clinical data of 47 patients with CSDH who underwent minimally invasive punctures between June 2019 and December 2021 were analyzed retrospectively. Results Of 47 patients with CSDH, 31 patients had a history of head trauma (trauma group) and 16 did not (non-trauma group). The mean age of the no-trauma group [(72.25±5.60) years]was significantly higher than that [(68.06±6.37) years]of the trauma group (P<0.05). The rates of hypertension (68.75％) and anticoagulant and antiplatelet therapy (56.3%) of the no-trauma group were significantly higher than those (29.03% and 6.5%, respectively) of the no-trauma group (P<0.05). According to Markwalder's classification 3 months after operation, the rate of poor prognosis of the trauma group (31.25%) was significantly higher than that (6.45%) of the trauma group (P<0.05). Conclusions Compared with patients with CSDH with a history of head trauma, patients with CSDH without a history of head trauma are older. Hypertension and the use of anticoagulant and antiplatelet drugs are more common in patients with CSDH without a history of head trauma, and they often have a poor prognosis.

参考文献/References:

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备注/Memo

备注/Memo:
（2022-08-26收稿，2022-10-31修回）
通讯作者：曹德茂，E-mail：cdmaocdmao@163.com
更新日期/Last Update: 2022-01-31