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Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
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自发性内低血压与双边皮下血瘤一起出现:决策和治疗策略
You-Sub Kim1, Sung-Pil Joo1, Kang-Hee Ahn1
1Department of Neurosurgery, Chonnam National University Hospital and Medical School, Gwangju, Republic of Korea.
概括
在自发性内低血压 (SIH) 中,双边腹膜下血瘤 (SDH) 的手术排水通常对于神经病情恶化或大脑显著松的患者来说是必要的. 趋势伦堡的立场可以在没有进一步干预的情况下帮助恢复.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 放射学 放射学是一门学科.
背景情况:
- 自发性内低血压 (SIH) 可以导致双边腹腔内血瘤 (SDH),这在手术干预方面是一个困境.
- 在SIH患者中排出SDH的最佳时间和决策过程需要进一步澄清.
研究的目的:
- 审查对SIH次要的双边SDH的经验.
- 分析这些患者的决策和治疗策略.
主要方法:
- 对15名双边SDH二次于SIH的患者的回顾性审查 (2010年3月 - 2021年9月).
- 分析患者特征,诊断,成像发现,治疗和临床结果.
主要成果:
- 8名患者 (53.3%) 最初接受了Trendelenburg位置的SDH排水,其中7人取得了持续的改善.
- 40%的患者 (6/15) 情况恶化至昏迷状态,但在SDH排水和Trendelenburg定位后恢复.
- 93.3%的患者 (14/15) 在随访期间表现出良好康复.
结论:
- 在SIH中,SDH疏散不是普遍要求的,但对于神经衰退或大脑显著下垂的患者来说至关重要.
- 在SIH中对SDH进行快速手术可以预防不可逆转的神经损伤.
- 特伦德伦堡姿势可以促进恢复,并可能避免需要额外的治疗,如外周周道血贴.
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