机化型慢性硬膜下血肿1例并文献复习

摘要

目的：探讨机化型慢性硬膜下血肿的表现及手术治疗特点。方法：对笔者所在医院收治的1例机化型慢性硬膜下血肿患者的临床资料进行回顾性分析并复习国内外相关文献。结果：本例患者行骨瓣开颅血肿清除及包膜切除术后并发额叶血肿，经脱水等治疗后康复出院。结论：机化型慢性硬膜下血肿临床少见，多见于老年人，CT 及 MRI 可协助诊断，癫痫及再出血是骨瓣开颅治疗的常见手术并发症，后期有待加强微创治疗方案的研究。%　　Objective:To explore the manifestations and surgical characteristics of organized chronic subdural hematoma.Methods:A case of organized chronic subdural hematoma was analyzed,and the related literatures was reviewed.Results:The patient who underwent craniotomy was recovered and discharged, though which happened postoperative recurrent hemorrhage in the left frontal lobe.Conclusion:Organized chronic subdural hematoma is a uncommon condition and it occurs more frequently in the elderly. CT or MRI is helpful for the diagnosis of this disease. The most common postoperative complication are recurrent hemorrhage and seizures. Further studies should focus on developing minimally invasive therapy to minimize the operative invasion.