Singh Jaskaran, Garg Kanwaljeet, Sharma Rajeev, Sinha Sumit, Kale Shashank Sharad
Department of Neurosurgery, All India Institute of Medical Sciences, R No- 720, 7th Floor, CN Center, AIIMS, New Delhi, India.
Childs Nerv Syst. 2017 Jul;33(7):1229-1232. doi: 10.1007/s00381-017-3401-6. Epub 2017 Apr 3.
Intracerebral hemorrhage is the second most common cause of mortality (after infections) in acute leukemia and is responsible for approximately 20% of deaths due to acute leukemia. Management of intracerebral hemorrhage (ICH) is mostly conservative but there exist certain patients who need emergent surgery due to the poor Glasgow Coma Scale (GCS) despite their coagulopathic state.
We present here two such cases which were successfully managed with decompressive craniectomy which was done as a damage control surgery thus stating the importance of surgical intervention in the management of acutely deteriorating patients rather than the commonly employed conservative management due to their coagulopathic state.
脑出血是急性白血病中第二常见的死亡原因（仅次于感染），约占急性白血病所致死亡的20%。脑出血（ICH）的治疗大多是保守的，但存在某些患者，尽管处于凝血障碍状态，但由于格拉斯哥昏迷量表（GCS）评分低而需要紧急手术。
我们在此介绍两例这样的病例，通过减压颅骨切除术成功治疗，该手术作为损伤控制手术进行，从而表明手术干预在治疗急性病情恶化患者中的重要性，而非因患者凝血障碍状态而通常采用的保守治疗。
