自发性椎管内硬膜外血肿2例诊治分析(1)
【摘要】 目的 探讨总结自发性椎管内硬膜外血肿的诊疗方法，提高对于自发性椎管内硬膜外血肿的临床诊治水平。方法 对自2007年6月以来收治的2例自发性椎管内硬膜外血肿患者的临床诊治资料，包括病因、发病过程、临床表现以及手术后患者康复情况进行回顾性分析。结果 2例患者起病情况、出血部位以及脊髓受压时间等不同，导致患者术后康复存在明显差异。结论 对于自发性椎管内硬膜外血肿患者，尽快完善MRI检查，明确诊断，尽早手术是获得最大程度功能康复的关键。【关键词】自发性椎管内硬膜外血肿；手术治疗；预后
Diagnose and treatment for spontaneous spinal epidural hematoma：2 cases report
QI Yong，LI Gui-tao，WU Guang-qin,et al.Department Orthopaedics, The Second Hospital of Guangdong Province, Guangzhou 510317,China
【Abstract】 Objective To summarize the method of diagnose and treatment for spontaneous spinal epidural hematoma(SSEP).Methods We retrospectively studied clinical information of 2 cases who suffered SSEP, including：cause of hematomas, the process of invasion, the clinical manifestation and the results after operation.Results There were differences between 2 cases in the following aspects：process of disease invasion , bleeding parts, duration of the compression of spine cord.All these resulted in the different outcome in two cases.Conclusions MRI is admitted when a patient is suspected to suffered with SSEP.Once the diagnose is clear, the surgery shoug be carried out as soon as possible. ......
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