Turtas S, Perria C, Orunesu G, Pau A
Neurosurgical Clinic, Sassari Medical School, Italy.
Zentralbl Neurochir. 1990;51(4):190-3.
The six-month follow-up of 83 surgically treated cases for intracerebral hematoma (ICH) was examined in relation to some clinical and computer-tomographic parameters (age, sex, accompanying diseases, clinical features, localization, ventricular involvement, time elapsed between stroke and surgery). Clinical and laboratory pre-requisites for admittance to the study were: 1) ICH with subcortical major component greater than 3 cm. in diameter, 2) a Glasgow Coma Scale (GCS) score at/or superior than 5, 3) any evidence of trauma, aneurysm, A-V malformation and tumor and 4) surgery not later than 96 hrs. after onset of bleeding. The role of the clinical picture and the ventricular involvement of ICH was strinkingly significant on both mortality as well as recovery rates while sex, some accompanying diseases and left localization influenced the recovery rate. Time elapsed between bleeding and surgery was not considered an objective parameter due to the variability of some organizatory and human factors. Age was an uninfluential factor.
对83例接受手术治疗的脑内血肿（ICH）病例进行了为期6个月的随访，并分析了一些临床和计算机断层扫描参数（年龄、性别、伴发疾病、临床特征、血肿部位、脑室受累情况、卒中与手术之间的时间间隔）。纳入本研究的临床和实验室前提条件为：1）皮层下主要血肿成分直径大于3 cm的ICH；2）格拉斯哥昏迷量表（GCS）评分等于或高于5分；3）无任何创伤、动脉瘤、动静脉畸形和肿瘤的证据；4）出血后96小时内进行手术。ICH的临床表现和脑室受累情况对死亡率和恢复率均有显著影响，而性别、一些伴发疾病和左侧血肿部位则影响恢复率。由于一些组织和人为因素的变异性，出血与手术之间的时间间隔未被视为一个客观参数。年龄是一个无影响因素。
