Marsh H, Maurice-Williams R S, Lindsay K W
Department of Neurosurgery, Royal Free Hospital, London, UK.
J Neurol Neurosurg Psychiatry. 1987 Aug;50(8):965-70. doi: 10.1136/jnnp.50.8.965.
British consultant neurosurgeons in post for at least one year were sent a postal questionnaire about the way in which they managed patients with ruptured aneurysms; 87% replied. Wide differences were evident in almost all aspects of treatment, before, during and after surgery. A consensus of opinion appeared in only a few areas: the employment of magnification during surgery, the use of clipping as the preferred method of surgical treatment, and a general reluctance to operate on patients with a depressed conscious level within a week of haemorrhage.
英国任职至少一年的神经外科顾问医生收到了一份关于他们如何治疗动脉瘤破裂患者的邮寄调查问卷；87%的人进行了回复。在手术前、手术期间和手术后的几乎所有治疗方面都存在明显差异。仅在少数几个方面出现了意见一致的情况：手术中使用放大设备、将夹闭术作为首选手术治疗方法，以及普遍不愿在出血一周内对意识水平低下的患者进行手术。
