Schütz H
Neurologische Klinik Frankfurt-Höchst.
Ther Umsch. 1996 Jul;53(7):590-6.
Next to cerebral infarcts, spontaneous intracerebral hematomas are the second most frequent of cerebral insults. In recent years, the risk factors have been re-evaluated. The prognosis with respect to morbidity and mortality is also more favorably estimated as compared to previous years. The prognosis is determined by the size of the hematoma, its location, and the degree of intraventricular hemorrhage. The various clinical syndromes can be differentiated on the origin of the hematoma. In general, cerebellar hematomas over 20 ml volume must be surgically removed. We recommend surgical removal of lobar and putaminal hemorrhages only when life saving measures are necessary.
除脑梗死外，自发性脑内血肿是第二常见的脑部损伤。近年来，其危险因素已被重新评估。与前几年相比，其发病率和死亡率的预后估计也更为乐观。预后取决于血肿的大小、位置以及脑室内出血的程度。各种临床综合征可根据血肿的起源进行区分。一般来说，体积超过20毫升的小脑血肿必须手术清除。我们建议仅在必要的救命措施时才对脑叶和壳核出血进行手术清除。
