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Expert consensus on drug treatment of chronic subdural hematoma

Chinese Neurosurgical Journal 2022年第1期8卷 51-59页

作者： Jianning Zhang Chinese Society of Neurosurgery Chinese Medical Association Chinese Neurosurgical Critical Care Specialist Council Collaborational Group of Chinese Neurosurgical translational and Evidence-based medicine department of Neurosurgery Tianjin Medical University General HospitalTianjin 300052China Key Laboratory of Post-trauma Neuro-repair and Regeneration in Central Nervous System Ministry of EducationTianjin 300052China Tianjin Key Laboratory of Injuries Variations and Regeneration of Nervous SystemTianjin 300052China Tianjin Neurological Institute Tianjin 300052China 不详

Chronic subdural hematoma(CSDH)is a chronic space-occupying lesion formed by blood accumulation between arachnoid and dura mater,which is usually formed in the third week after traumatic brain *** treatment is usually the first choice for patients with CSDH having a significant space-occupying *** of the patients showed good results of surgical treatment,but still some patients had a postoperative recurrence(the recurrence rate was up to 33%).Because CSDH is often seen in the elderly,patients are weak and have many basic *** risk of surgical treatment is high;serious complications and even death(the death rate is up to 32%)can often *** overall good prognosis rate of patients aged more than 90 years is 24%.The drug treatment can provide a safe and effective treatment for elderly patients who are weak,intolerable to surgery,or failed in ***-dose and long-term use of atorvastatin(20mg/d)is suggested for continuous treatment for at least 8 weeks,while low-dose and short-term use of dexamethasone can improve the therapeutic effect of atorvastatin on *** should undergo CT or MRI scanning at least one time within 2 weeks after the start of drug treatment.

关键词： CSDH treatment drug death

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