Lüdtke-Handjery A, Kruger B J
Dtsch Med Wochenschr. 1977 May 27;102(21):791-4. doi: 10.1055/s-0028-1105445.
23 patients were operated on between 3 and 24 hours (group 1) and between 2 and 14 days (group 2) after a stroke with a diagnosis of carotid obstruction. A retrospective study for patients of stage IIIa and IIIb showed that clinical and functional results of both groups correspond. The mortality of group 1 was slightly less than that of group 2. Group 1 showed the largest number of successful vascular reconstructions. Thus an early operation of stage IIIa and possibly IIIb seems indicated. In view of the high mortality (5 out of 6 patients) surgery cannot be recommended in stage IV.
23例诊断为颈动脉阻塞的中风患者在中风后3至24小时（第1组）和2至14天（第2组）接受了手术。对IIIa期和IIIb期患者的回顾性研究表明，两组的临床和功能结果相当。第1组的死亡率略低于第2组。第1组成功进行血管重建的例数最多。因此，似乎有必要对IIIa期甚至可能对IIIb期进行早期手术。鉴于死亡率高（6例患者中有5例），IV期不建议进行手术。
