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恶性急性缺血性中风的手术:对已知和未知的叙述性审查

Kailash Krishnan^1,2, Milo Hollingworth³, Thanh N Nguyen⁴

¹Stroke Unit, Department of Acute Medicine Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom.

Seminars in neurology

|August 18, 2023

概括

恶性急性缺血性中风 (AIS) 可能是致命的,但减压手术具有拯救生命的潜力. 本综述探讨了恶性中风的预测因素和外科手术技术,指导患者选择和未来的研究.

科学领域:

神经学神经学
神经外科神经外科
关键护理医学关键护理医学

背景情况:

恶性急性缺血性中风 (AIS) 涉及由于占用空间的大脑的快速神经衰退,经常导致死亡.
尽管医学取得了进步,但有很大比例的患有大半球或小脑中风的患者面临着糟糕的结果.
减压手术可以为特定的AIS患者挽救生命,但最佳的患者选择和时间仍然具有挑战性.

结论:

进一步的研究是必不可少的,以完善外科手术技术,包括duroplasty,并了解内压力监测的作用.
使用成像和生物标志物开发预测模型对于识别那些将从减压手术中受益最多的患者至关重要.
长期结果,包括身体残疾和生活质量,需要进一步评估,以及对骨整形并发症和疗效的研究.

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