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颅内出血抽吸与溶栓治疗

ICH aspiration and thrombolysis.

作者信息

Naval Neeraj S, Nyquist Paul, Carhuapoma J Ricardo

机构信息

Division of Neurosciences Critical Care, Departments of Neurology, Neurosurgery and Anesthesiology and Critical Care Medicine, The Johns Hopkins Hospital, Baltimore, MD 21287, USA.

出版信息

J Neurol Sci. 2007 Oct 15;261(1-2):80-3. doi: 10.1016/j.jns.2007.04.037. Epub 2007 May 23.

DOI:10.1016/j.jns.2007.04.037
PMID:17524425
Abstract

Intracerebral hemorrhage (ICH) is associated with the highest mortality among all forms of stroke. Evolution in the medical management of ICH has not improved patient outcomes while the results of conventional surgery have generally been disappointing. Minimally invasive surgery (MIS) using stereotactic clot aspiration followed by clot lysis is gaining credibility as an alternative management strategy. We review the published data on this methodology in the treatment of ICH.

摘要

脑出血(ICH)在所有类型的中风中死亡率最高。脑出血的药物治疗进展并未改善患者预后,而传统手术的结果总体上令人失望。采用立体定向血肿抽吸术随后进行血肿溶解的微创手术(MIS)作为一种替代治疗策略正逐渐获得认可。我们回顾了关于这种治疗脑出血方法的已发表数据。

相似文献

1
ICH aspiration and thrombolysis.颅内出血抽吸与溶栓治疗
J Neurol Sci. 2007 Oct 15;261(1-2):80-3. doi: 10.1016/j.jns.2007.04.037. Epub 2007 May 23.
2
No evidence of preoperative hematoma growth representing an increased postoperative rebleeding risk for minimally invasive aspiration and thrombolysis of ICH.没有证据表明术前血肿增大意味着微创穿刺抽吸和溶栓治疗脑出血术后再出血风险增加。
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Frameless stereotactic aspiration and subsequent fibrinolytic therapy for the treatment of spontaneous intracerebral haemorrhage.无框架立体定向抽吸及后续纤溶治疗自发性脑出血
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Management of spontaneous intracerebral hemorrhage.自发性脑出血的管理
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Frameless stereotactic aspiration and thrombolysis of spontaneous intracerebral hemorrhage.无框架立体定向抽吸及溶栓治疗自发性脑出血
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Intracerebral hemorrhage.脑出血
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Advances in the management of spontaneous intracerebral hemorrhage.自发性脑出血的管理进展
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Controversies in medical management of intracerebral hemorrhage.脑出血医疗管理中的争议
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Stereotactic aspiration and thrombolysis of spontaneous intracerebellar hemorrhage.立体定向抽吸和溶栓治疗自发性小脑内出血。
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Minimally invasive treatment of intracerebral hemorrhage.脑出血的微创治疗
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引用本文的文献

1
In-Vitro Study of Urokinase Thrombolysis Following Stereotactic Aspiration of Intracerebral Hematoma.立体定向脑内血肿抽吸术后尿激酶溶栓的体外研究
J Korean Neurosurg Soc. 2020 May;63(3):380-385. doi: 10.3340/jkns.2018.0224. Epub 2019 Nov 22.
2
Enhanced Neuroprotection of Minimally Invasive Surgery Joint Local Cooling Lavage against ICH-induced Inflammation Injury and Apoptosis in Rats.微创手术联合局部降温灌洗对大鼠脑出血诱导的炎症损伤和细胞凋亡的增强神经保护作用。
Cell Mol Neurobiol. 2016 Jul;36(5):647-55. doi: 10.1007/s10571-015-0245-z. Epub 2015 Jul 31.
3
Frameless stereotactic aspiration for spontaneous intracerebral hemorrhage and subsequent fibrinolysis using urokinase.
无框架立体定向穿刺抽吸治疗自发性脑出血及随后使用尿激酶进行纤溶治疗
J Cerebrovasc Endovasc Neurosurg. 2014 Mar;16(1):5-10. doi: 10.7461/jcen.2014.16.1.5. Epub 2014 Mar 31.
4
Minimally invasive surgery for intracerebral haemorrhage.脑出血的微创手术
Curr Opin Crit Care. 2014 Apr;20(2):148-52. doi: 10.1097/MCC.0000000000000077.
5
Minimally invasive procedures reduce perihematomal endothelin-1 levels and the permeability of the BBB in a rabbit model of intracerebral hematoma.微创操作可降低兔脑出血模型血肿周围组织内皮素-1 水平和血脑屏障通透性。
Neurol Sci. 2013 Jan;34(1):41-9. doi: 10.1007/s10072-012-0962-8. Epub 2012 Feb 5.