2018老年慢性硬膜下血肿的临床特点及治疗

9976692

　　[摘要] 目的 分析老年慢性硬膜下血肿的临床特点及治疗。方法 方便选择该院自2009年7月―2017年7月收治的100例慢性硬膜下患者，将其根据年龄分为两组，两组患者均给予钻孔引流术。对照组50例为非老年组，50例老年组为观察组，分析两组患者临床特点及治疗。结果 经钻孔手术治疗后，观察组平均血肿引流量、住院时间与对照组对比，前者均明显较多，后者较少（P http://
　　[关键词] 老年；慢性硬膜下血肿；临床特点；治疗
　　[中图分类号] R651 [文献标识码] A [文章编号] 1674-0742（2017）11（a）-0076-03
　　[Abstract] Objective To analyze the clinical features and treatment of senile chronic subdural hematoma. Methods 100 cases of patients with chronic subdural hematoma admitted and treated in our hospital from July 2009 to July 2017 were conveniently selected and divided into two groups with 50 cases in each according to age， both groups were treated with trepanation and drainage， the control group were the non-senile patients， while the observation group were the senile patients， and the clinical features and treatment of the two groups were analyzed. Results After treatment， the average hematoma drainage amount， length of stay in the observation group were more than those in the control group（P统计学意义（P>0.05），具有可比性。
　　1.2 临床表现
　　观察组，15例为头晕，20例为头痛，11例为恶心，4例为呕吐，15例有抽搐的现象，31例有精神症状，12例存在反应迟钝的现象，意识障碍者3例，视乳头水肿者11例，有偏瘫症状或双下肢轻瘫者5例，9例患者锥体束阳性；对照组，13例为头晕，41例为头痛，40例为恶心，5例为呕吐，10例为有抽搐的现象，存在精神症状者16例，反应迟钝者15例，5例存在意识障碍，28例为视乳头水肿，2例有偏瘫或双下肢轻瘫，7例患者锥体束阳性。老年组与非老年组头晕、精神症状、反应迟钝及偏瘫占比对比，前者均明显低于后者（P