Duff T A, Ayeni S, Levin A B, Javid M
Neurosurgery. 1981 Oct;9(4):387-93. doi: 10.1227/00006123-198110000-00007.
This report describes our experience with the use of osmotic diuretics, governed by continuous monitoring of intracranial pressure (ICP), as the primary treatment for 12 consecutive patients suffering from an acute, supratentorial intracerebral hematoma. In all cases the hematoma, as shown by computed tomographic scan, had a long axis of greater than 4.0 cm. ICP and cerebral perfusion pressure were successfully maintained within the assigned limits in all patients, and in none was surgical evacuation required. There was one death during the 6-month follow-up period. With appropriate weighting to differences in admission status, statistical comparison of the patient outcome in the present series with that reported by McKissock et al. suggests that ICP monitoring can improve the outcome of conservatively (and perhaps surgically) treated patients.
本报告描述了我们对12例急性幕上脑内血肿患者使用渗透性利尿剂的经验，该治疗以持续监测颅内压（ICP）为指导，作为主要治疗方法。所有病例经计算机断层扫描显示，血肿长轴均大于4.0 cm。所有患者的ICP和脑灌注压均成功维持在规定范围内，无一例需要手术清除血肿。在6个月的随访期内有1例死亡。对入院状态差异进行适当加权后，本系列患者的预后与McKissock等人报告的结果进行统计学比较，结果表明ICP监测可改善保守（或许也包括手术）治疗患者的预后。
