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慢性亚皮血瘤灌后立即发生的逆侧急性亚皮血瘤:一个病例报告
Ryo Matsuzaki1, Yutaka Fuchinoue1, Yuki Sakaeyama1
1Neurosurgery, Toho University, Tokyo, JPN.
Cureus
|December 22, 2025
概括
慢性腹腔内血瘤 (CSDH) 手术的一个罕见并发症是逆侧急性腹腔内血瘤 (ASDH). 这一案例凸显了警的术后监测对风险患者的早期检测和干预的重要性.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
背景情况:
- 慢性亚皮血瘤 (CSDH) 是一种常见的神经外科疾病.
- 术后并发症虽然不常见,但需要仔细考虑.
- 在CSDH手术后罕见地报告了逆侧皮血瘤 (SDH).
研究的目的:
- 报告一种罕见的逆侧急性腹腔内血瘤 (ASDH) 病例,该病例是在慢性腹腔内血瘤 (CSDH) 排水后发生的.
- 讨论与这种并发症相关的潜在机制和风险因素.
主要方法:
- 一个76岁的女性患者的病例介绍,她正在服用抗凝药.
- 通过计算机断层扫描 (CT) 进行左侧CSDH的初始诊断.
- CSDH的手术排水,随后监测和随后管理相反的ASDH.
主要成果:
- 手术后的CT显示在初始CSDH排水后存在相反的ASDH.
- 患者的神经状态迅速恶化.
- 需要对另一方ASDH进行第二次手术.
结论:
- 逆侧SDH在CSDH手术后是一种潜在的,尽管很少见的并发症.
- 抗凝治疗,脑内压力动态变化和脑血管脆弱性可能有助于.
- 紧密的术后监测对于及时识别和管理至关重要.
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