CAJ | 학술논문

目的：分析慢性硬膜下血肿误诊为硬膜外血肿的情况。方法：回顾性分析2010年5月-2014年5月笔者所在科收治的9例CT报告为硬膜外血肿但术后证实为慢些硬膜下血肿患者的临床表现、术中情况及影像学资料。早期2例患者仅根据CT表现行开颅骨瓣成形血肿清除术，术中发现为慢些硬膜下血肿。后期7例直接行钻孔引流术，术中证实硬膜下血肿诊断。结果：经随访1~3个月，9例患者均一次治愈。结论：诊断慢些硬膜下血肿不能仅凭CT影像，应结合临床，误诊后积极处理预后好。
목적：분석만성경막하혈종오진위경막외혈종적정황。방법：회고성분석2010년5월-2014년5월필자소재과수치적9례CT보고위경막외혈종단술후증실위만사경막하혈종환자적림상표현、술중정황급영상학자료。조기2례환자부근거CT표현행개로골판성형혈종청제술，술중발현위만사경막하혈종。후기7례직접행찬공인류술，술중증실경막하혈종진단。결과：경수방1~3개월，9례환자균일차치유。결론：진단만사경막하혈종불능부빙CT영상，응결합림상，오진후적겁처리예후호。
Objective:To analyse the causes of chronic subdural hematoma misdiagnosed as epidural hematoma.Method:9 patients with chronic subdural hematom(CSDH) treated in our department from May 2010 to May 2014 which were misdiagnosed as epidural hematoma were selected.The medical records,such as clinical manifestation,situation in operation,imaging data were retrospectively reviewed.2 cases had craniotomy hematoma removal operation,7 cases had drilling drainage operation.,which all been diagnosed with chronic subdural hematoma during surgery.Result:During the follow-up of 1-3 months,9 patients were cured.Conclusion:To accurately diagnose chronic subdural hematoma,CT is not the only basis,the clinical circumstance must be considered.The prognosis is good after active treatment.