MacWalter R S, Ersoy Y, Wolfson D R
Stroke Studies Centre, Department of Medicine, Ninewells Hospital and Medical School, Dundee, UK.
Gerontology. 2001 May-Jun;47(3):119-30. doi: 10.1159/000052785.
While there have been substantial improvements in the management of patients with cerebral infarction and there are likely to be further improvements over the next decade, the same may not be true for cerebral haemorrhage. Diagnostic facilities and neurosurgical techniques have improved but not all patients are benefiting from these. The current literature is reviewed. Further controlled trials of the utility of modern neurosurgical techniques are urgently required as at present no therapeutic intervention holds out hope for these patients other than optimum medical management. The main focus must be on prevention.
虽然脑梗死患者的管理已经有了实质性改善,并且在未来十年可能会有进一步改善,但脑出血的情况可能并非如此。诊断设备和神经外科技术有所进步,但并非所有患者都能从中受益。本文对当前文献进行了综述。迫切需要对现代神经外科技术的效用进行进一步的对照试验,因为目前除了最佳的药物治疗外,没有其他治疗干预措施能给这些患者带来希望。主要重点必须放在预防上。