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[高血压性幕上脑内血肿的手术治疗指征]

[Indications for surgical treatment of hypertensive intracerebral supratentorial hematomas].

作者信息

Antić B, Roganović Z, Tadić R, Raicević B

出版信息

Vojnosanit Pregl. 1991 Jan-Feb;48(1):35-9.

PMID:2053319
Abstract

The retrospective analysis comprised 26 operatively and 28 conservatively treated patients with hypertensive intracerebral supratentorial hematomas (HISH). According to indications for surgical treatment the patients were divided into three groups. The first group included patients with milder disorders of consciousness, slight neurological deficit and intracerebral hematomas less than 50 ccm. The second group included patients with more severe disorders of consciousness, marked neurological deficit and intracerebral hematomas larger than 50 ccm. The third group included patients with severe disorders of consciousness at the level of coma and decortication or decerebration phenomena. The results of surgical treatment are significantly better compared to conservative treatment (42,3%:14,3%).

摘要

这项回顾性分析纳入了26例接受手术治疗和28例接受保守治疗的高血压性幕上脑内血肿(HISH)患者。根据手术治疗指征,将患者分为三组。第一组包括意识障碍较轻、神经功能缺损轻微且脑内血肿小于50立方厘米的患者。第二组包括意识障碍较严重、神经功能缺损明显且脑内血肿大于50立方厘米的患者。第三组包括处于昏迷水平且存在去皮层或去大脑现象的严重意识障碍患者。与保守治疗相比,手术治疗的效果显著更好(42.3%:14.3%)。

相似文献

1
[Indications for surgical treatment of hypertensive intracerebral supratentorial hematomas].[高血压性幕上脑内血肿的手术治疗指征]
Vojnosanit Pregl. 1991 Jan-Feb;48(1):35-9.
2
[Hypertensive intracerebral hematomas: apropos of 50 cases].[高血压性脑出血:附50例报告]
Arq Neuropsiquiatr. 1985 Jun;43(2):167-75. doi: 10.1590/s0004-282x1985000200007.
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[CT-guided stereotaxic evacuation of hypertensive intracerebral hematomas].[CT引导下高血压性脑出血的立体定向血肿清除术]
Zhonghua Wai Ke Za Zhi. 1991 Jul;29(7):443-5, 463.
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[On the intracerebral hematoma --clinical analysis of 105 operated cases-- (author's transl)].[关于脑内血肿——105例手术病例的临床分析——(作者译)]
Hokkaido Igaku Zasshi. 1975 Sep;50(5):467-75.
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[Simultaneous, multiple hypertensive intracerebral hematomas: report of 5 cases and review of literature].[同时性多发性高血压性脑出血:5例报告并文献复习]
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[Spontaneous supratentorial intracerebral hematomas: apropos of 28 cases].[自发性幕上脑内血肿:附28例报告]
Arq Neuropsiquiatr. 1980 Dec;38(4):367-74. doi: 10.1590/s0004-282x1980000400006.
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Spontaneous intracerebral haematomas. Aspects of treatment.自发性脑内血肿。治疗方面。
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引用本文的文献

1
Optimal treatment determination on the basis of haematoma volume and intra-cerebral haemorrhage score in patients with hypertensive putaminal haemorrhages: a retrospective analysis of 310 patients.基于血肿体积和脑出血评分确定高血压性壳核出血患者的最佳治疗方案:310例患者的回顾性分析
BMC Neurol. 2014 Jul 4;14:141. doi: 10.1186/1471-2377-14-141.