Lynch J C, Alves R, Ribeiro R, Lima J G
Arq Neuropsiquiatr. 1985 Jun;43(2):167-75. doi: 10.1590/s0004-282x1985000200007.
Fifty cases of supratentorial intracerebral hematomas associated with hypertension are analyzed. The best treatment of the intracerebral hematomas is not settled. The authors reviewed and analyzed the literature and they suggest that the small hematomas should be managed conservatively as well as those patients in deep coma. The subcortical hematomas usually improve with surgical removal. In the deep ganglionic type the initial treatment is clinical. If no improvement occurs the hematoma should be removed with microsurgery technique.
分析了50例与高血压相关的幕上脑内血肿病例。脑内血肿的最佳治疗方法尚未确定。作者回顾并分析了文献,他们建议小血肿以及深度昏迷的患者应采用保守治疗。皮质下血肿通常通过手术切除得以改善。对于深部神经节型,初始治疗以临床观察为主。如果没有改善,则应采用显微外科技术清除血肿。