Naval Neeraj S, Nyquist Paul, Carhuapoma J Ricardo
Division of Neurosciences Critical Care, Departments of Neurology, Neurosurgery and Anesthesiology and Critical Care Medicine, The Johns Hopkins Hospital, Baltimore, MD 21287, USA.
J Neurol Sci. 2007 Oct 15;261(1-2):80-3. doi: 10.1016/j.jns.2007.04.037. Epub 2007 May 23.
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.
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。