高血圧性脳内出血, 軽症例の手術適応について:-特にCT所見より-

概要

論文の詳細を見る
The purpose of this investigation is to make clear the border line of conservative and operative therapy for light cases of lateral type of I. C. H. Definition of mild case by C. T. is that hematoma is localized in the insula away from internal capsule. Moderate severe case means one in whith hematoma partially involves internal capsule. This vernification was made in 10 mild cases and 10 moderate cases among total 56 I. C. H. cases treated in our University from Nov. 1975 to Jan. 1977. Only 2 cases of these light cases became poor in hospital course. These 2 cases had moderatly large hematoma just away from internal capsule by C. T. and were treated conservatively. In these 2 cases, hemiparesis became hemiplegia a few days after attack. At the same time, C. T. showed low density area around the hematoma involved internal capsule, though the hematoma itself was the same in size. Corona radiata was involved in one case, and another case's was not clearly involved. On the other hand, 3 cases with bigger hematoma than ones of these 2 cases recovered well by surgery. 5 cases of smaller hematoma than ones of those 2 cases recovered completely. (3 cases were treated conservatively, and 2 cases were treated operatively.) 10 moderate cases were treated all surgically. 8 cases of these have been in useful life. (4 cases were completely recovered, other 4 cases were recovered to ADL 2.) 2 cases have been living in dependance upon someone's help. There was no mortality in light or moderate cases. Therefore we decided the indication of surgery in light case of lateral type of I. C. H. as mentioned below. (1) There is indication of surgery not for life saving, but for functional, recovery. (2) Conservative therapy is indication to these cases in which hematoma and low density area around it is away from internal capsule by C. T. (3) Operative therapy for good functional recovery is indication to these cases in which not only hematoma, but also low density area around it, involve or may involve internal capsule or corona radiata.
The Japanese Society on Surgery for Cerebral Strokeの論文

高血圧性脳内出血, 軽症例の手術適応について:-特にCT所見より-

スポンサーリンク

概要

著者

関連論文

スポンサーリンク