Smyth Duncan, Weatherall Mark, Rosemergy Ian, Woon Kelvin, Lanford Jeremy
Department of Neurology, Wellington, New Zealand.
University of Otago Wellington, Wellington, New Zealand.
Intern Med J. 2018 Oct;48(10):1258-1261. doi: 10.1111/imj.14050.
Decompressive hemicraniectomy (DHC) has been shown to reduce mortality in malignant middle cerebral artery (MCA) infarction. Our primary objective was to compare 1-year mortality between patients receiving DHC for malignant MCA infarction at our institution based on hospital of origin. We retrospectively reviewed the medical records of all patients treated for malignant MCA infarction with DHC at our institution over a 3-year period. One-year mortality rates and time to surgery were comparable regardless of whether the patient first attended the tertiary referral centre or a peripheral centre.
减压性颅骨切除术（DHC）已被证明可降低恶性大脑中动脉（MCA）梗死的死亡率。我们的主要目的是比较在我们机构接受DHC治疗恶性MCA梗死的患者中，根据最初就诊医院的不同，其1年死亡率的差异。我们回顾性分析了在我们机构3年期间接受DHC治疗恶性MCA梗死的所有患者的病历。无论患者最初是在三级转诊中心还是周边中心就诊，其1年死亡率和手术时间均具有可比性。
