[摘要] 目的 探讨老年人慢性硬脑膜下血肿的诊断特点与手术方法。方法 回顾性分析58例60岁以上老年人慢性硬脑膜下血肿(CSDH)病人的临床特点、神经影像学资料、手术方法和结果。结果 58例病人均采用颅骨钻孔冲洗并闭式引流术，仅2例复发后需再次手术处理。结论 CT扫描或MRI检查可及时诊断老年人CSDH。颅骨钻孔冲洗并闭式引流术是治疗老年人CSDH安全有效的首选方法。

    [关键词] 血肿，硬脑膜下；诊断；手术治疗

    Surgical management and diagnosis of chronic subdural hematoma in elderly patients

    ZENG Jin-song.Department of Neurosurgery,Pudong New Area People’s Hospital,Shanghai 201200,China

    [Abstract] Objective To explore diagnosis features and surgical methods for chornic subdural hematoma (CSDH) in elderly patients.Methods Clinical features,neuroradiological material,surgical techniques and outcome of 58 patients of over 60 years old in elderly with CSDH were analyzed retrospectively.Results Out of the 58 patients who had been treated by burr hole craniotomy with closed drainage,only 2 showed recurrence of subdural hematoma with the necessity of reoperation.Conclusion Old patients with CSDH can be diagnosed immediately by CT scan or MRI.Burr hole craniotomy with closed drainage should be the first choice method of safety and effectiveness for old patients with CSDH. ......