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Spontaneous spinal epidural hematoma: treatment and analysis of the factors affecting the prognosis
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROSURGERY
- Issue:
- 6
- DOI:
- 10.3760/j.issn:1001-2346.2005.06.008
- Key Word:
- 自发性硬脊膜外血肿;治疗;预后
Abstract： 目的探讨自发性硬脊膜外血肿的临床特征、治疗及影响预后的因素.方法回顾性分析我院12例自发性硬脊膜外血肿的临床特征、手术时机和随访患者的神经功能的恢复,结合有关文献分析影响预后的因素.结果患者表现为急性和亚急性病程,前者如及早手术,神经功能可完全恢复;后者神经功能恢复的程度决定于术前症状的轻重.对症状较轻者在严密观察下可保守治疗.患者神经功能的恢复与年龄无关.结论急性病程患者的预后决定于手术时机,即病程持续时间;亚急性病程患者的预后决定于术前症状的轻重.年龄对预后无决定性影响.症状较轻的患者,保守治疗也可取得理想的疗效.
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