Dabrowska E, Jagodziński Z, Michalak W
Oddziału Neurotraumatologii Katedry Neurochirurgii AM, Lodzi.
Neurol Neurochir Pol. 1992;Suppl 1:276-82.
Authors present 38 patients treated non-operatively because of intracerebral haematomas since 1988 till 1990 in ++Neuro-traumatological Ward Medical Academy of Lódź. The aforementioned data revealed that patients could be treated non-invasively if: 1. On admittance to the ward they were in good general condition they were conscious or their awareness was uptuned a bit. 2. Compression of ventricular system and even slight replacement of media line structures was not an indication to operative treatment if the consciousness of the patients had been good, had not deteriorated during the treatment and on CT scan control haematomas and mass effect vanished. 3. It seemed that if general and neurological condition of patients was good or improved the control could be performed in week or even longer periods of time.
作者介绍了1988年至1990年期间在罗兹医科大学神经创伤科病房因脑内血肿接受非手术治疗的38例患者。上述数据表明,如果患者满足以下条件,则可采用非侵入性治疗:1. 入院时一般情况良好,意识清醒或意识稍有改善。2. 脑室系统受压,甚至中线结构稍有移位,如果患者意识良好,治疗期间未恶化,且CT扫描显示血肿和占位效应消失,则不是手术治疗的指征。3. 似乎如果患者的一般情况和神经状况良好或有所改善,可在一周甚至更长时间后进行复查。