Effects and complications of stereotactic aspiration for spontaneous intracerebral hemorrhage.
Neurol Med Chir (Tokyo)
; 50(7): 538-44, 2010.
Article
em En
| MEDLINE
| ID: mdl-20671378
ABSTRACT
Stereotactic aspiration of intracerebral hemorrhage (ICH) improves the general condition of patients, promotes improvement of consciousness, and decreases the incidence of pneumonia, but may induce rebleeding. The present study investigated the effects of stereotactic aspiration and factors that inhibit rebleeding in 70 consecutive patients who underwent stereotactic aspiration for ICH. Consciousness was significantly improved after surgery. Of patients who underwent surgery on day 0 or 1, 5 patients developed pneumonia and 29 patients did not. Of patients who underwent surgery on day 2 or later, 14 patients developed pneumonia and 22 patients did not. Early surgery within 2 days significantly reduced the rate of aspiration pneumonia. Patients with rebleeding tended to have liver dysfunction and hemorrhagic tendency. Early stereotactic aspiration of ICH facilitates better patient management than conservative treatment in patients with moderate consciousness disturbance. Patients with liver dysfunction and hemorrhagic tendency should be identified.
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Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Sucção
/
Trepanação
/
Hemorragia Cerebral
/
Técnicas Estereotáxicas
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Aged
/
Aged80
/
Humans
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
Neurol Med Chir (Tokyo)
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Japão