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本文引用的文献

1
Favorable clinical outcome following surgical evacuation of deep-seated and lobar supratentorial intracerebral hemorrhage: a retrospective single-center analysis of 123 cases.手术清除幕上深部和脑叶脑出血的良好临床转归：一项回顾性单中心 123 例分析。
Acta Neurochir (Wien). 2018 Sep;160(9):1737-1747. doi: 10.1007/s00701-018-3622-9. Epub 2018 Jul 26.
2
Persistent Metabolic Disturbance in the Perihemorrhagic Zone Despite a Normalized Cerebral Blood Flow Following Surgery for Intracerebral Hemorrhage.脑出血手术后尽管脑血流正常，但仍存在周围出血区的持续代谢紊乱。
Neurosurgery. 2019 Jun 1;84(6):1269-1279. doi: 10.1093/neuros/nyy179.
3
Surgical Outcome of Spontaneous Supra Tentorial Intracerebral Hemorrhage.自发性幕上脑出血的手术结果
Pak J Med Sci. 2017 Jul-Aug;33(4):804-807. doi: 10.12669/pjms.334.12172.
4
Awareness, treatment and control of hypertension in Nepal: findings from the Dhulikhel Heart Study.尼泊尔高血压的知晓、治疗与控制：杜利凯尔心脏研究的结果
Heart Asia. 2017 Jan 4;9(1):1-8. doi: 10.1136/heartasia-2016-010766. eCollection 2017.
5
Prevalence, awareness, treatment, and control of hypertension in rural and urban communities in high-, middle-, and low-income countries.高、中、低收入国家城乡社区高血压的患病率、知晓率、治疗率和控制率。
JAMA. 2013 Sep 4;310(9):959-68. doi: 10.1001/jama.2013.184182.
6
Early surgery versus initial conservative treatment in patients with spontaneous supratentorial lobar intracerebral haematomas (STICH II): a randomised trial.自发性幕上大脑半球脑内血肿患者的早期手术与初始保守治疗（STICH II）：一项随机试验。
Lancet. 2013 Aug 3;382(9890):397-408. doi: 10.1016/S0140-6736(13)60986-1. Epub 2013 May 29.
7
Surgical trials in intracerebral hemorrhage.脑出血的外科试验。
Stroke. 2013 Jun;44(6 Suppl 1):S79-82. doi: 10.1161/STROKEAHA.113.001494.
8
Individual patient data subgroup meta-analysis of surgery for spontaneous supratentorial intracerebral hemorrhage.自发性幕上脑内出血手术的个体患者数据亚组荟萃分析。
Stroke. 2012 Jun;43(6):1496-504. doi: 10.1161/STROKEAHA.111.640284. Epub 2012 Apr 17.
9
Intracranial hemorrhage: mechanisms of secondary brain injury.颅内出血：继发性脑损伤的机制
Acta Neurochir Suppl. 2011;111:63-9. doi: 10.1007/978-3-7091-0693-8_11.
10
Surgical management and case-fatality rates of intracerebral hemorrhage in 1988 and 2005.1988年和2005年脑出血的外科治疗及病死率
Neurosurgery. 2008 Dec;63(6):1113-7; discussion 1117-8. doi: 10.1227/01.NEU.0000330414.56390.DE.

在一家三级护理中心接受治疗的自发性幕上脑出血患者的外科治疗管理：一项描述性的横断面研究。

Surgical Management among Patients with Spontaneous Supratentorial Intracerebral Haemorrhage Admitted in a Tertiary Care Centre: A Descriptive Cross-sectional Study.

机构信息

Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 Aug 1;60(252):697-701. doi: 10.31729/jnma.7178.

DOI:10.31729/jnma.7178
PMID:36705228
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9446498/
Abstract

INTRODUCTION

Spontaneous intracerebral haemorrhage is the second most common form of stroke and the most deadly one. An understanding of changing trends in the epidemiology of intracerebral haemorrhage prevalence, its risk factors, current practice in management, case fatality, and long-term outcome is essential to measure the effectiveness of stroke prevention and various treatment efforts. The objective of this study was to find out the prevalence of surgical management among patients with spontaneous supratentorial intracerebral haemorrhage in a tertiary centre.

METHODS

A descriptive cross-sectional study was conducted in the Department of Neurosurgery from January 2017 to December 2019. Ethical approval was obtained from the Institutional Review Committee (Reference number: 06/2020/IRC-ANIAS). A convenience sampling method was used. Data of the patients were retrieved from online medical records. Point estimate and 95% Confidence Interval were calculated.

RESULTS

Among 221 patients with spontaneous supratentorial intracerebral haemorrhage, 115 (52.04%) (45.45-58.63, 95% Confidence Interval) underwent surgical management. In-hospital mortality was seen in 23 (20%) and survivors at 3 months were 78 (67.82%) patients.

CONCLUSIONS

The prevalence of surgical management among spontaneous supratentorial intracerebral haemorrhages was higher than in other studies done in a similar setting.

KEYWORDS

intracerebral haemorrhage; mortality; surgical procedure.

摘要

简介

自发性脑出血是中风的第二大常见类型，也是最致命的类型。了解脑出血患病率、危险因素、当前治疗实践、病死率和长期预后的变化趋势，对于衡量中风预防和各种治疗措施的效果至关重要。本研究的目的是了解在一家三级中心自发性幕上脑出血患者的手术治疗情况。

方法

这是一项在 2017 年 1 月至 2019 年 12 月期间在神经外科进行的描述性横断面研究。该研究获得了机构审查委员会的伦理批准（参考编号：06/2020/IRC-ANIAS）。采用便利抽样方法。从在线病历中检索患者的数据。计算点估计值和 95%置信区间。

结果

在 221 例自发性幕上脑出血患者中，有 115 例（52.04%）（45.45-58.63，95%置信区间）接受了手术治疗。住院期间死亡的患者有 23 例（20%），3 个月时存活的患者有 78 例（67.82%）。

结论

自发性幕上脑出血患者的手术治疗率高于在类似环境下进行的其他研究。

关键词

脑出血；死亡率；手术程序。