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目的建立急性硬膜下血肿新型救治模式,探讨、评价该救治模式的有效性。方法回顾性分析了唐都医院2003-01～2006-01采用新型救治模式治疗的急性硬膜下血肿患者635例,以2000-01～2002-12期间采用传统治疗方法的568例急性硬膜下血肿患者为对照,通过统计分析治疗效果、开颅手术量次、住院时间,评价该治疗模式的有效性。结果两种救治模式对轻型患者结果差异不大,新型救治模式对中型、重型患者减轻了血肿压迫,缩短了血肿吸收期,减少了住院时间,部分重型患者避免了开颅手术,重型和特重型患者争取了手术时间,降低了死亡率,提高了治疗效果。结论急性硬膜下血肿新型救治模式显著提高了急性硬膜下血肿的治疗效果,缩短了脑组织受压时间,减少了开颅手术次数和平均住院时间,该模式是一套完善的、高效的急性硬膜下血肿救治模式,为急性硬膜下血肿的治疗开辟了新的思路和方法。
Objective To establish a new treatment model of acute subdural hematoma, to explore and evaluate the effectiveness of this treatment model. Methods A retrospective analysis of 635 cases of acute subdural hematoma in Tangdu Hospital from January 2003 to January 2006 with 566 cases of acute subdural hematoma using traditional treatment methods was performed from January 2000 to December 2002 Hematoma patients as a control, by statistical analysis of the treatment effect, craniotomy volume, length of stay, evaluation of the effectiveness of the treatment model. Results There was no significant difference between the two treatment modes on the outcome of light patients. The new treatment mode reduced the hematoma oppression, shortened the period of hematoma absorption and reduced the length of hospital stay in medium and heavy patients. Some heavy patients avoided craniotomy, heavy and heavy Patients fight for surgery time, reduce mortality and improve the treatment effect. Conclusion The new treatment model of acute subdural hematoma can significantly improve the therapeutic effect of acute subdural hematoma, shorten the compression time of brain tissue, reduce the number of craniotomy and the average length of stay. This model is a perfect and efficient Acute subdural hematoma rescue model for the treatment of acute subdural hematoma has opened up new ideas and methods.