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对３０５例急性硬脑膜下血肿的临床资料进行回顾性分析。３０５例全部经手术治疗，治疗效果良好者占５６．３９％，不良者４３．６１％，总病死率为４２．６２％。经Ｌｏｇｉｓｔｉｃ回归分析，发现有７项临床指标影响治疗结果。针对这些因素提出治疗中应注意以下几个问题：术前术后要密切观察意识和瞳孔改变，并将二者结合分析；治疗要积极及时，尽量争取在病人意识较好，瞳孔等大光反射存在即给予有效治疗；术中处理尽量做到内减压充分，妥善处理多伤灶问题，防止术后再出血和颅内压增高；重视并发症的预防和控制，特别是年龄较大者，尤应注意。
305 cases of acute subdural hematoma clinical data were retrospectively analyzed. All 305 cases were treated by surgery. The treatment effect was good in 56.39%, poor in 43.61% and total mortality in 42.62%. Logistic regression analysis found that there are seven clinical indicators affect the treatment outcome. In view of these factors in the treatment should pay attention to the following questions: Preoperative and postoperative should be closely observed awareness and pupil changes, and the combination of the two; treatment should be active in a timely manner, try to fight for a better patient awareness, pupil and other light reflex The existence that is to give effective treatment; intraoperative management as much as possible within the decompression, proper handling of multiple injuries to prevent postoperative bleeding and increased intracranial pressure; attention to the prevention and control of complications, especially older, Especially note.