Department of Neurosurgery, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Bosn J Basic Med Sci. 2018 Nov 7;18(4):375-379. doi: 10.17305/bjbms.2017.2289.
Spontaneous intracerebral hemorrhage (ICH) is one of the most serious causes of stroke, leading to high rates of disability and mortality. In addition to intensive medical treatment, surgery may help to improve the prognosis in patients with ICH. A rapid reversal of coagulopathy is essential in these patients, although it may be difficult to achieve in various bleeding disorders. In such cases, when surgery is needed, a minimally invasive approach is recommended. In this case report, we described and shortly discussed the evacuation of ICH with a minimally invasive non-endoscopic surgical technique.
自发性脑出血(ICH)是中风最严重的原因之一,导致高残疾率和死亡率。除了强化医疗治疗外,手术可能有助于改善 ICH 患者的预后。这些患者的凝血功能障碍需要迅速逆转,尽管在各种出血性疾病中可能难以实现。在这种情况下,当需要手术时,建议采用微创方法。在本病例报告中,我们描述并简要讨论了一种微创非内窥镜手术技术清除 ICH。